ATI Detailed Answer Key GI/Neuro Med Surg. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the followin
...
ATI Detailed Answer Key GI/Neuro Med Surg. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next
container arrives?
Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose 5% in water
could cause rapid shifts in serum levels of some substances.
A. Dextrose 5% in water
Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9% sodium
chloride could cause rapid shifts in serum levels of some substances.
B. 0.9% sodium chloride
Rationale: TPN contains high concentrations of dextrose and proteins. To avoid hypoglycemia,
the nurse should infuse dextrose 10% or 20% in water until the next container of
TPN solution arrives.
C. Dextrose 10% in water
Rationale: TPN contains high concentrations of certain nutrients. Infusing lactated Ringer’s
solution could cause rapid shifts in serum levels of some substances.
D. Lactated Ringer’s solution
1.
A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
Rationale: Clients who have chronic pancreatitis are at risk for malnutrition and should
increase their caloric intake in order to maintain weight.
A. “You should decrease your caloric intake when abdominal pain is present.”
Rationale: Clients who have chronic pancreatitis should consume a diet that is high in protein.
B. “You should increase your daily intake of protein.”
Rationale: Clients who have chronic pancreatitis should consume a low-fat diet to prevent
stimulation of the pancreas and steatorrhea.
C. “You should increase fat intake when experiencing loose stools.”
Rationale: Clients who have chronic pancreatitis should avoid alcohol intake to prevent
stimulation of the pancreas.
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