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These are all from Exam 1 and exam 2 These are all 100% correct. The ones highlighted in black. Still waiting for someone to answer them. I’ll update the rest of the black highlighted portion as sson as i get the answers. Thank you for helping 1. A nurse is teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching? a. consumes three large meals a day b. eat protein at each meal c. sit up in bed after meals d. drink beverages with meals 2. A nurse is providing teaching to a client who has a prescription for a low- saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching? a. I will include 7 ounces of fish in my diet weekly b. I will use margarine on my waffles c. I can eat the skin on poultry if it is broiled d. I can choose an avocado dip instead of salsa 3. teaching about the dietary approaches to stop hypertension (Dash) diet to client who has hypertension which of the instructions should the nurse include? a. increase intake of refined carbohydrate s b. consumes ten percent of total calories from saturated fat c. consume food that are high in calcium d. limit sodium intake to 3,200 milligrams per day 4. a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings therapy is effective? a. client’s blood glucose level is within the expected reference range b. client reports ability to complete ADLs c. client has soft, formed bowel movements d. client’s mucous membranes are pink 5. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse include in the teaching? a. metallic taste
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Meta © 2022 Total Parenteral Nutrition or (TPN feeding)is a method of administration of essential nutrients to the body through a central vein. TPN therapy is indicated to a client with a weight loss of 10% the ideal weight, an inability to take oral food or fluids within 7 days post
surgery, and hypercatabolic situations such as major infection with fever. TPN solutions requires water (30 to 40 mL/kg/day), energy (30 to 45
kcal/kg/day, depending on energy expenditure), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, electrolytes, vitamins, minerals, and trace elements. These solutions can be adjusted, depending on the presence of organ system impairment or the specific nutritional needs of the client. TPN is usually used in hospital, subacute and long-term care, but it
is also used in the home care settings. The major goals for the patient undergoing total parental nutrition may include improvement of nutritional status, maintaining fluid balance, and absence of complications. Here are four (4) total parenteral nutrition
nursing care plans (NCP) and nursing diagnosis:
1. Imbalanced Nutrition: Less Than Body RequirementsImbalanced Nutrition: Less Than Body Requirements
May be related to
Possibly evidenced by
Desired Outcomes
1. Imbalanced Nutrition: Less Than Body RequirementsRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
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Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. What would be the priority nursing consideration when caring for a client receiving TPN?Which of these interventions is the priority when caring for this client? TPN can cause hyperglycemia, so blood glucose levels should be closely monitored. Because of the hypertonicity of the TPN solution, it must be administered via a central venous catheter.
What is the nurse's responsibilities in administering TPN?Educate client on the need for and use of TPN. Apply knowledge of nursing procedures and psychomotor skills when caring for a client receiving TPN. Apply knowledge of client pathophysiology and mathematics to TPN interventions. Administer parenteral nutrition and evaluate client response (e.g., TPN)
What precautions must be used when caring for a client with TPN?Do not change the dose or how often you get TPN without talking to your doctor first. Wash your hands before you handle the TPN solution and supplies, or the IV. Store the TPN solution in the refrigerator when you are not using it. Let the solution warm to room temperature before you use it.
What monitoring is required for a patient receiving TPN?Complete blood count should be obtained. Weight, electrolytes, and blood urea nitrogen should be monitored often (eg, daily for inpatients). Plasma glucose should be monitored every 6 hours until patients and glucose levels become stable. Fluid intake and output should be monitored continuously.
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What interventions should the nurse include in the plan of care for a client receiving TPN?
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