Post Lecture Quiz 5

The nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which statement by the client indicates a good understanding of preventing dumping syndrome after meals? Select all that apply. "I will eat a low-protein, high-carbohydrate diet." "I will avoid artificially-sweetened foods." "I will not drink fluids when I eat meals." "I will eat small, frequent meals instead of three large meals a day." "I will eat a bland diet."

"I will avoid artificially-sweetened foods." "I will not drink fluids when I eat meals." "I will eat small, frequent meals instead of three large meals a day."

To begin the administration of total parenteral nutrition (TPN), a client has a right subclavian central venous access device inserted. Immediately after insertion of the catheter, what is the priority nursing action? Auscultate the lungs to evaluate breath sounds. Assessing the right upper extremity for a neurologic deficit Draw a blood sample to assess blood glucose level Obtain a chest x-ray to determine placement.

Auscultate the lungs to evaluate breath sounds.

A patient is being weaned from TPN and is expected to begin taking solid food today. The ongoing solution rate has been 100 mL/hr. The nurse anticipates that which prescription regarding the TPN solution will accompany the diet prescription? Decrease the TPN rate to 50 mL/hr Continue the current infusion rate for TPN Start 0.9% NS at 25 mL/hr Discontinue the TPN

Decrease the TPN rate to 50 mL/hr

A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome? Small, frequent feeding schedule Low-residue, bland diet Low-protein, high-carbohydrate diet Fluid intake below 500 mL

Small, frequent feeding schedule

The nurse is caring for a client who has an implanted port and is receiving intravenous fluids. To decrease the risk of infection, the nurse should change the noncoring needle how often? Every 7 days Every 9 days Every 3 days Every 5 days

every 7 days

A primary health care provider prescribes 1000 mL total parenteral nutrition (TPN) to be infused over 12 hours via a central venous access device. What is most important for the nurse to obtain when preparing the equipment? An infusion set delivering 60 gtts/mL A steady IV pole A set of hemostats to be taped at the bedside An infusion pump

An infusion pump

The nurse is providing postprocedure care for a client who had a central venous access device (CVAD) inserted. Before the CVAD is used, what procedure is performed to verify placement? Chest fluoroscopy Chest x-ray Withdrawing blood to ensure patency Flushing the line with heparin

Chest x-ray

A client is receiving total parenteral nutrition (TPN) through a central venous access device. The nurse discovers that the TPN bag is empty and the next bag has not been received yet from the pharmacy. What is the most appropriate action for the nurse to take? Hang a bag of 10% dextrose at the ordered TPN rate and place an urgent request for the next TPN bag. Discontinue the infusion and flush the IV line with saline solution until the next TPN bag is ready. Perform a finger stick glucose test and call the primary healthcare provider with the results. Hang a bag of 5% dextrose at a keep-open rate and notify the nurse manager of the occurrence.

Hang a bag of 10% dextrose at the ordered TPN rate and place an urgent request for the next TPN bag.

A client is to receive total parenteral nutrition (TPN) via a central venous access device/catheter. What information about this treatment would the nurse recognize as accurate? The jugular vein is the most commonly used catheter insertion site Catheter placement must be confirmed by fluoroscopy before the TPN is initiated The client will experience a moderate amount of pain during the procedure The TPN may be administered intermittently rather than continuously.

The TPN may be administered intermittently rather than continuously.

A primary health care provider prescribes total parenteral nutrition for a client with cancer of the pancreas. A central venous access device is inserted. What does the nurse identify as the most important reason for using this type of access? It permits free use of the hands. The amount of blood in a major vein helps to dilute the solution. The chance of the infusion infiltrating is decreased. Infection is uncommon.

The amount of blood in a major vein helps to dilute the solution.