accurate
1. 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?
A. Dextrose5% in water
B. 0.9%sodium chloride
C. Dextrose10% in water
D. Lactated Ringer’s solution
2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
A. “You should decrease your caloric intake when abdominal pain is present.”
B. “You should increase your daily intake of protein.”
C. “You should increase fat intake when experiencing loose stools.”
D. “You should limit alcohol intake to2-3 drinks per week.”
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3. A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If
the client manifests increased intracranial pressure, which of the following findings should the nurse expect?
(Select all that apply)
A. Violent headache
B. Neck pain and stiffness
C. Slurred speech
D. Projectile vomiting
E. Rapid loss of consciousness
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4. A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate
finding by the nurse?
A. Severe headache
B. Bradycardia
C. Increased muscle tone
D. Oriented to time, person, place
5. A nurse admits a client who has a concussion for overnight observation. Alert and oriented on admission, the
client reports a headache along with neck pain and generalized muscle aches. The nurse knows that a
manifestation considered an early indication of increased intracranial pressure (ICP) is
A. bradycardia.
B. ipsilateral pupil dilation.
C. widening pulse pressure.
D. lethargy.
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6. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The
nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
A. NPO until dysphagia subsides
B. Supplements via nasogastric tube
C. Initiation of total parenteral nutrition
D. Soft residue diet
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