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Med Surg 2 Exam 1 Practice Questio... Exam 2 Med Surg Med Surg Gastrointestinal NCLEX Q... Med su
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Which method is best to use when confirming initial a. x-ray.
placement of a blindly inserted small-bore NG feeding
tube?
a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate.
A patient is receiving peripheral parenteral nutrition. The b. 5% dextrose solution.
parenteral nutrition solution is completed before the new
solution arrives on the unit. The nurse gives
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution.
A patient with anorexia nervosa shows signs of d. hypophosphatemia.
malnutrition. During initial refeeding, the nurse carefully
assesses the patient for
a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia.
, A patient was admitted with a fractured hip after being Serum phosphate level of 1.9 mg/dL
found on the floor of her home. She was extremely
malnourished and started on parenteral nutrition (PN) 3
days ago. Which assessment finding would be of most
concern to the nurse?
Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L
A patient is admitted with anorexia nervosa and a serum Cardiac dysrhythmias
potassium level of 2.4 mEq/L. What complication is most
important for the nurse to observe for in this patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia
A patient who has sustained severe burns in a motor Central PN requires rapid dilution in a large volume of blood.
vehicle accident is starting parenteral nutrition (PN).
Which principle should guide the nurse's administration of
PN?
Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of
blood.
Peripheral PN delivery is preferred over the use of a
central line.
Only water-soluble medications may be added to the PN
by the nurse.
Which focused assessments would have priority in the Electrolyte levels and daily weights
care of a patient recently started on parenteral nutrition
(PN)?
Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness
The patient has parenteral nutrition (PN) infusing with Ensuring that the next bag has been ordered
amino acids and dextrose. During shift change, the nurse
reports the tubing, bag, and dressing were changed 20 Checking amount of solution left in the bag
hours ago. What care should the incoming nurse plan to
deliver (select all that apply.)? Verifying the accuracy of the new solution and ingredients
Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and
ingredients