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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Nursing Elites

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ATI Nutrition

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. For patients with hypertension, which dietary change is most recommended?

Correct answer: C

Rationale: Increasing potassium intake can help reduce blood pressure in hypertensive patients.

3. A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?

Correct answer: B

Rationale: Corrected Question: A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses? Correct Answer: Calcium Rationale: Calcium is crucial for nerve transmission, muscle contraction, and blood clotting. It plays a vital role in the proper functioning of the nervous system. Phosphorus is important for bone health and energy metabolism, not nerve impulse transmission. Chloride is an electrolyte important for fluid balance but not directly involved in nerve impulse transmission. Zinc is essential for immune function and wound healing but not specifically required for nerve impulse transmission.

4. Protein-energy malnutrition (PEM) may be responsible for the increased incidence of noma and necrotizing ulcerative gingivitis (NUG) because these conditions are associated with depressed immune responses caused by nutritional deficiencies.

Correct answer: A

Rationale: The corrected question highlights that protein-energy malnutrition weakens the immune system, making individuals more susceptible to conditions like noma and NUG, which are linked to compromised immunity. Choice A is correct because the statement and reason are both accurate and directly related. Protein-energy malnutrition does result in depressed immune responses, which can predispose individuals to noma and NUG. Choice B is incorrect because the statement and reason are indeed related. Choice C is incorrect as both the statement and reason are accurate. Choice D is also incorrect as the statement is correct and directly supports the reason provided.

5. To successfully complete the tasks of older adulthood, an 85 year old who has been a widow for 25 years should be encouraged to:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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