a nurse is caring for a client who is receiving total parenteral nutrition tpn the pharmacy is delayed in supplying the clients next container of tpn
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1. A client receiving total parenteral nutrition (TPN is awaiting the next container. What fluid should the nurse infuse in the interim?

Correct answer: B

Rationale: The correct answer is 0.9% sodium chloride. When a client receiving TPN is awaiting the next container, infusing 0.9% sodium chloride is the appropriate choice to maintain fluid and electrolyte balance. Dextrose solutions are not recommended as they do not provide sufficient nutrition. Lactated Ringer's solution contains electrolytes but lacks essential nutrients found in TPN, making it an inadequate choice during the delay in TPN delivery.

2. Proteolytic enzymes are most likely to break down which food type?

Correct answer: B

Rationale: Proteolytic enzymes target proteins for breakdown into amino acids. Carbohydrates are broken down by enzymes like amylase, while fats are broken down by lipase. Lipids, which include fats, are not specifically targeted by proteolytic enzymes.

3. Children with cerebral palsy, Down syndrome, and intellectual disabilities are likely to have abnormal sensory input and muscle tone. A small, underdeveloped tongue is common in many such disorders and results in diminished nutritional status.

Correct answer: C

Rationale: The first statement is true, but the second is false. These children often have a large tongue or tongue thrust, which can interfere with feeding and nutrition.

4. How many grams of protein per day are recommended for a person weighing 150 lbs?

Correct answer: D

Rationale: The Recommended Dietary Allowance (RDA) for protein is 0.8 grams per kilogram of body weight. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, a 150 lb person weighs approximately 68 kg (150 / 2.2 = 68). Multiplying 68 kg by 0.8 grams gives us 54 grams of protein per day. Choices A, B, and C are incorrect as they do not align with the RDA calculation based on body weight.

5. Dental hygienists are in a key position to assess and detect signs and symptoms of systemic disease because more than one third of the patients treated in a dental office frequently do not interact with a general health care provider.

Correct answer: A

Rationale: Dental hygienists often see patients more regularly than general healthcare providers, allowing them to identify systemic issues early.

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