answered 2023 2024
What nursing diagnosis is the most important for the nurse to include in the care plan of a client who
has just been started on total parenteral nutrition (TPN) therapy?
Fluid Volume Deficit
Risk for Infection
Imbalanced Nutrition: Less Than Body Requirements
Activity Intolerance answer - Risk for Infection
The nurse is preparing to administer a feeding to a client with a gastrostomy tube. What should the
nurse do before providing this feeding?
Lower the head of the bed.
Assist the client to a prone position.
Assess tube placement.
Measure vital signs. answer - Assess tube placement
The nurse has advised the client to consume alcohol only in moderation. What guideline should the
nurse provide as a "moderate" alcohol intake?
Two drinks per week for women, three for men
One drink per week for women, two for men
One drink per day for women, two for men
Two drinks per day for women, three for men answer - One drink per day for women, two for men
A client is diagnosed with an elevated cholesterol level. What should the nurse instruct the client
regarding foods to avoid? Select all that apply.
, Egg yolk
Liver
Fish
Chicken
Milk answer - Egg yolk
Liver
Milk
The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2
ounces of formula before going back to sleep. What instruction should the nurse give this parent?
Offer the baby less formula to prevent waste.
Make the baby wait at least 3 hours between feedings.
When the baby gets sleepy during feeding, use techniques such as moving around and tickling to
encourage wakefulness.
Continue to feed the baby with this on-demand schedule. answer - Continue to feed the baby with this
on-demand schedule.
The nurse notices that the client's continuous open system tube-feeding set is almost empty. What
action should the nurse take?
Flush the set with clear carbonated soda and discontinue.
Wash out the set and add new feeding.
Discontinue the feeding and hang a closed system bag.
Add tube feeding to the set. answer - Wash out the set and add new feeding.
The nurse is planning instruction for a client who is underweight. What should be included in this
teaching?
Select all that apply.