a client receiving total parenteral nutrition tpn suddenly develops tremors dizziness and diaphoresis the client said i feel weak and the bag was empt

ATI RN

Nutrition ATI Test

1. A client receiving total parenteral nutrition (TPN) suddenly develops tremors, dizziness, and diaphoresis. The client said, 'I feel weak and the bag was empty.' Which is the most likely complication the client is currently experiencing?

A. Fluid volume overload
B. Sepsis
C. Hyperglycemia
D. Hypoglycemia

Correct answer: D

Rationale: The client experiencing tremors, dizziness, diaphoresis, weakness, and stating that the TPN bag is empty is likely experiencing hypoglycemia. Hypoglycemia can occur when the TPN infusion suddenly stops, leading to a rapid drop in blood sugar levels. Symptoms of hypoglycemia include tremors, dizziness, diaphoresis, and weakness. Choices A, B, and C are incorrect as the symptoms presented are more consistent with hypoglycemia rather than fluid volume overload, sepsis, or hyperglycemia.

2. The psychosocial task of a 55 year old adult client is:

A. Industry vs. Inferiority
B. Intimacy vs. Isolation
C. Integrity vs. Despair
D. Generativity vs. Stagnation

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. A nurse that is always ready to answer for all his actions and decision is said to be:

A. Accountable C. Critical thinker
B. Responsible D. Assertive
C.
D.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. Why is bleeding in the leg of a pregnant woman considered as an emergency?

A. Blood volume is greater in pregnant woman; therefore, blood loss is increased
B. There is an increase blood pressure during pregnancy increasing the likelihood of hemorrhage
C. Pregnant woman are anemic, all forms of blood loss should be considered as an emergency especially if it is in the
D. The pressure of the gravid uterus will exert additional force thus, increasing the blood loss in the lower extremities

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

5. In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is considered clean to make a non-contaminated work area?

A. The lower lip
B. The outer surface
C. The upper tip
D. The inside surface

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.