Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions.
Which of the following is an appropriate action to include in the plan of care?
A. Change the PN infusion bag every 48 hr.
Choice A is wrong because the PN infusion bag should be changed every 24 hours, not every 48 hours.
B. Prepare the client for a central venous line.
Parenteral nutrition (PN) with 20% dextrose and fat emulsions is a hypertonic solution that requires infusion through a central venous line to prevent damage to peripheral veins.
C. Obtain random blood glucose daily.
Choice Cis wrong because blood glucose should be monitored more frequently than once daily when initiating PN therapy.
D. Administer the PN and fat emulsion separately.
Choice Dis wrong because PN and fat emulsions can be administered together in a total nutrient admixture (TNA)1.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Fundamentals 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
Prepare the client for a central venous line.
Parenteral nutrition (PN) with 20% dextrose and fat emulsions is a hypertonic solution that requires infusion through a central venous line to prevent damage to peripheral veins.
Choice A is wrong because the PN infusion bag should be changed every 24 hours, not every 48 hours.
Choice C is wrong because blood glucose should be monitored more frequently than once daily when initiating PN therapy.
Choice D is wrong because PN and fat emulsions can be administered together in a total nutrient admixture (TNA)1.
Similar Questions
A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
A. Write down the complete prescription.
When receiving a new prescription over the telephone from a client’s provider, the nurse should first write down the complete prescription to ensure that all the details are accurately recorded.
B. Read back the prescription to the provider.
Choice B is wrong because reading back the prescription to the provider should be done after writing down the complete prescription.
C. Document the prescription as a telephone prescription in the medical record.
Choice C is wrong because documenting the prescription as a telephone prescription in the medical record should be done after writing down the complete prescription and reading it back to the provider.
D. Ensure that the provider signs the prescription.
Choice D is wrong because ensuring that the provider signs the prescription should be done after writing down the complete prescription, reading it back to the provider, and documenting it in the medical record.
Full Explanation
When receiving a new prescription over the telephone from a client’s provider, the nurse should first write down the complete prescription to ensure that all the details are accurately recorded.
Choice B is wrong because reading back the prescription to the provider should be done after writing down the complete prescription.
Choice C is wrong because documenting the prescription as a telephone prescription in the medical record should be done after writing down the complete prescription and reading it back to the provider.
Choice D is wrong because ensuring that the provider signs the prescription should be done after writing down the complete prescription, reading it back to the provider, and documenting it in the medical record.
A nurse is caring for a client who reports that she has insomnia.
Which of the following interventions is appropriate for the nurse to recommend?
A. Eat a light carbohydrate snack before bedtime.
Eating a light carbohydrate snack before bedtime can help promote sleep by increasing the level of tryptophan in the brain.
B. Take a 30-min nap daily.
Choice B is wrong because taking a 30-min nap daily can disrupt nighttime sleep and worsen insomnia.
C. Drink a cup of hot cocoa before bedtime.
Choice C is wrong because drinking a cup of hot cocoa before bedtime can interfere with sleep due to its caffeine content.
D. Exercise 1 hr before bedtime.
Choice D is wrong because exercising 1 hr before bedtime can increase alertness and make it more difficult to fall asleep.
Full Explanation
Eating a light carbohydrate snack before bedtime can help promote sleep by increasing the level of tryptophan in the brain.
Choice B is wrong because taking a 30-min nap daily can disrupt nighttime sleep and worsen insomnia.
Choice C is wrong because drinking a cup of hot cocoa before bedtime can interfere with sleep due to its caffeine content.
Choice D is wrong because exercising 1 hr before bedtime can increase alertness and make it more difficult to fall asleep.
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain.
Which of the following actions should the nurse take first?
A. Expose the client's abdomen to look for changes in appearance.
After postoperative surgery, chances of infections are very high also discharges, color changes, etc. So it is important to expose the client’s abdomen to look for changes in appearance.
B. Determine areas of resonance across the abdomen using a systematic approach.
Choice B is not the answer because determining areas of resonance across the abdomen using a systematic approach is not the first action that should be taken 1.
C. Use the diaphragm of a stethoscope to listen for bowel sounds.
Choice C is not the answer because using the diaphragm of a stethoscope to listen for bowel sounds is not the first action that should be taken 1.
D. Perform abdominal palpation by pressing gently with the finger pads.
Choice D is not the answer because performing abdominal palpation by pressing gently with the finger pads is not the first action that should be taken 1.
Full Explanation
After postoperative surgery, chances of infections are very high also discharges, color changes, etc.
So it is important to expose the client’s abdomen to look for changes in appearance.
Choice B is not the answer because determining areas of resonance across the abdomen using a systematic approach is not the first action that should be taken 1.
Choice C is not the answer because using the diaphragm of a stethoscope to listen for bowel sounds is not the first action that should be taken 1.
Choice D is not the answer because performing abdominal palpation by pressing gently with the finger pads is not the first action that should be taken 1.