Scenario:A 62-year-old malnourished patient is receiving total parenteral nutrition (TPN) via a central line. During the nurse’s assessment, the following findings are noted: Assessment Findings: Vital Signs: BP: 128/76 mmHg HR: 92 bpm RR: 20 breaths/min Temp: 99.1°F (37.3°C) Laboratory Results: Serum glucose: 280 mg/dL (elevated) Serum potassium: 3.2 mmol/L (low) Serum sodium: 136 mmol/L (normal) Patient Complaints: “I feel really thirsty.” “My mouth feels dry, and my hands are tingling.” Other Findings: TPN is infusing as prescribed at 75 mL/hr. Question Type: Select All That Apply (SATA)Question:Based on the assessment findings, which nursing actions are appropriate to address the patient’s condition?
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A malnourished patient is receiving parenteral nutrition (PN…
A malnourished patient is receiving parenteral nutrition (PN) containing amino acids and dextrose. The PN container was hung 24 hours ago with new tubing and a filter. Upon assessment, the nurse finds that about 50 mL remain in the current PN container. How should the nurse proceed to ensure patient safety and prevent infection?
A 45-year-old patient has been receiving total parenteral nu…
A 45-year-old patient has been receiving total parenteral nutrition (TPN) for 5 days due to severe malabsorption. The nurse is educating the patient about the therapy and potential complications. Which statement by the patient indicates a correct understanding of TPN therapy?
A 44-year-old female patient with Cushing syndrome expresses…
A 44-year-old female patient with Cushing syndrome expresses distress about her physical appearance and is scheduled for an adrenalectomy. Which intervention by the nurse best addresses the patient’s psychosocial needs related to disturbed body image?
Scenario: A patient arrives at the emergency department acti…
Scenario: A patient arrives at the emergency department actively vomiting blood. The nurse is tasked with determining the most appropriate initial actions to prioritize care and ensure patient safety. Question:Which actions should the nurse take first to effectively manage care for this patient? Select all that apply.
A nurse is developing a care plan for a patient with a lower…
A nurse is developing a care plan for a patient with a lower motor neuron lesion. Which finding would the nurse expect when assessing the patient’s legs?
The nurse is developing a care plan for a 30-year-old patien…
The nurse is developing a care plan for a 30-year-old patient admitted with diabetes insipidus. Based on the patient’s symptoms, which nursing diagnosis would the nurse prioritize to guide the plan of care?
Which collaborative and nursing actions would the nurse incl…
Which collaborative and nursing actions would the nurse include in the plan of care for a patient who experienced a T2 spinal cord transection 24 hours ago? (Select all that apply.)
What portion of the duodenum includes the duodenal bulb?
What portion of the duodenum includes the duodenal bulb?
A patient with a head injury has an arterial BP of 92/50 mm…
A patient with a head injury has an arterial BP of 92/50 mm Hg and ICP of 18 mm Hg. The nurse uses the assessments to calculate the cerebral perfusion pressure (CPP). How should the nurse interpret the results?