a nurse is caring for a client who has a new prescription for total parenteral nutrition tpn which of the following actions should the nurse plan to t
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LPN Fundamentals of Nursing Quizlet

1. A client has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

Correct answer: A

Rationale: When a client is on total parenteral nutrition (TPN), monitoring blood glucose levels daily is crucial to manage and detect complications like hyperglycemia, which can occur due to the high glucose content in TPN solutions. Regular blood glucose monitoring helps the healthcare team adjust the TPN infusion rate to maintain optimal glucose levels and prevent adverse events. Choices B, C, and D are incorrect because changing IV tubing every 72 hours, applying a new dressing to the IV site every 24 hours, and weighing the client weekly are not specific actions directly related to monitoring and managing the effects of TPN, particularly in relation to glucose levels.

2. A client has a new diagnosis of hypertension and is being taught about dietary management. Which of the following statements should be included by the healthcare provider?

Correct answer: B

Rationale: The correct answer is B: 'Decrease your intake of sodium-rich foods.' When managing hypertension, reducing the intake of sodium-rich foods is essential. Excessive sodium can contribute to increased blood pressure, which is why limiting its consumption is crucial to prevent complications. Choices A, C, and D are incorrect. Increasing sodium intake would exacerbate hypertension, avoiding lactose is unrelated to managing hypertension, and increasing dairy product intake does not specifically address the issue of sodium intake in hypertension management.

3. When admitting a client at risk for falls in a long-term care facility, what should the nurse do first?

Correct answer: A

Rationale: The initial step in caring for a client at risk for falls is to conduct a fall-risk assessment. This assessment helps the nurse gather crucial data to identify specific risks and individualized needs, guiding subsequent interventions and preventive measures. By completing a thorough assessment, the nurse can develop a targeted plan of care to mitigate fall risk and ensure the client's safety. Placing a fall-risk identification bracelet, providing nonskid footwear, or setting the bed to the lowest position may be important interventions, but these actions should be based on the findings of the fall-risk assessment, making choice A the priority.

4. A client with a new diagnosis of osteoporosis is being taught about dietary management. Which of the following statements should be included in the teaching?

Correct answer: A

Rationale: The correct answer is A: 'You should increase your intake of calcium-rich foods.' Increasing intake of calcium-rich foods is essential for managing osteoporosis because calcium is necessary for bone health and density. Adequate calcium intake can help prevent further bone loss and reduce the risk of fractures in individuals with osteoporosis. Choices B, C, and D are incorrect. Decreasing intake of potassium-rich foods is not necessary for osteoporosis management. Avoiding foods that contain vitamin D is counterproductive since vitamin D is essential for calcium absorption. Increasing intake of high-sodium foods is not recommended as it can contribute to bone loss and negatively impact bone health.

5. A healthcare professional is preparing to administer an intramuscular (IM) injection to a client. Which of the following actions should the healthcare professional take?

Correct answer: C

Rationale: Aspirating before injecting the medication is a crucial step in IM injections to check for blood return, ensuring that the needle is not in a blood vessel. This technique helps prevent accidental intravascular injection of the medication, reducing the risk of complications such as inadvertent intravenous administration of the substance.

Similar Questions

A client with osteoporosis is being taught about dietary management. Which statement indicates an understanding of the teaching?
A client with a new diagnosis of hypertension is being taught about lifestyle changes. Which of the following statements should the nurse include in the teaching?
A nurse is caring for a client who has a new prescription for a low-cholesterol diet. Which of the following foods should the nurse recommend?
When teaching a client with a new diagnosis of hypertension about medication adherence, which statement should the nurse include?
A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?

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