Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 42

Question 1 Type: MCSA The client has been consuming very high amounts of vitamin A. He asks the nurse why this is a problem since it is just a vitamin. What is the best response by the nurse 1. !Water"soluble vitamins like vitamin A are rea#ily e$crete# in your urine.! 2. !%t really isn&t a problem' your bo#y will just get ri# of the e$cess vitamins.! 3. !%t&s okay to take what you want' just cut back if you e$perience si#e effects.! 4. !(at"soluble vitamins like vitamin A are store# in your bo#y) an# too much can be to$ic.! Correct Answer: * Rationa e 1+ ,itamin A is a fat"soluble vitamin an# is not rea#ily e$crete# in the urine' only the water"soluble vitamins like - an# C will be e$crete# in the urine. Rationa e 2+ (at"soluble vitamins can be store# in large .uantities in the liver an# a#ipose tissue. This storage may lea# to #angerously high levels if taken in e$cessive amounts. Rationa e 3+ -y the time the client e$periences si#e effects) to$icity has occurre#) so this is ba# a#vice. Rationa e 4+ (at"soluble vitamins can be store# in large .uantities in the liver an# a#ipose tissue. This storage may lea# to #angerously high levels if taken in e$cessive amounts. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1"1 Question 2 Type: MCMA The physician or#ers multivitamins for the client. The client asks the nurse why she nee#s vitamins. What will the best teaching plan by the nurse inclu#e Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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'tandard Te*t: Select all that apply. 1. Small amounts of vitamins are nee#e# for health. 2. ,itamins will heal many illnesses. 3. ,itamins are inorganic compoun#s that are not store# in the bo#y. 4. 6our bo#y cannot synthesi7e most vitamins. +. ,itamins are nee#e# for growth an# maintenance of normal metabolic processes. Correct Answer: 5)*)8 Rationa e 1+ ,itamins are organic compoun#s. They are nee#e# for health. Rationa e 2+ ,itamins are great nutritional support) but there are very few illnesses that vitamins will heal. Rationa e 3+ ,itamins are organic compoun#s) but many are store# in the bo#y. Rationa e 4+ 9nly vitamin : can be synthesi7e#. Rationa e ++ ,itamins are nee#e# for growth an# maintenance of normal metabolic processes. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ /lanning %earnin# )utcome: *1"5 Question 3 Type: MCSA The client is receiving enteral nutrition. He rea#s on the bag hanging at his be#si#e that the li.ui# is a polymeric formulation. He asks the nurse what this means. What is the best response by the nurse 1. !%t means that your formulation contains varying amounts of free amino aci#s an# pepti#e combinations.! 2. !%t means that your formulation contains various mi$tures of proteins) carbohy#rates) an# lipi#s.! 3. !%t means that your formulation contains a specific nutrient combination for your particular con#ition.! 4. !%t means that your formulation contains a single nutrient) protein) lipi#) or carbohy#rate.! Correct Answer: 1
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Rationa e 1+ 9ligomeric formulations are agents containing varying amounts of free amino aci#s an# pepti#e combinations. Rationa e 2+ /olymeric formulations are the most common enteral preparations. These pro#ucts contain various mi$tures of proteins) carbohy#rates) an# lipi#s. Rationa e 3+ Speciali7e# formulations are pro#ucts that contain a specific nutrient combination for a particular con#ition. Rationa e 4+ Mo#ular formulations contain a single nutrient) protein) lipi#) or carbohy#rate. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1"; Question 4 Type: MCSA The nurse assesses which client as being at greatest risk for #eveloping vitamin #eficiencies 1. The young male client who takes phenytoin <:ilantin= for new"onset epilepsy 2. The young female client who uses oral contraceptives for birth control 3. The young male client who eats a well"balance# #iet an# #oes not take vitamins 4. The young pregnant female client who is taking prenatal vitamins Correct Answer: 1 Rationa e 1+ Certain anticonvulsants can be associate# with - comple$ #eficiencies) but the client is just starting therapy so he is not at great risk. Rationa e 2+ The use of oral contraceptives is associate# with #eficiencies of - comple$ vitamins. Rationa e 3+ Most nutritional #eman#s can be met with a well"balance# #iet. Rationa e 4+ The prenatal vitamins will meet all the vitamin re.uirements of the pregnant female. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies
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&ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1"* Question + Type: MCSA The nurse teaches new mothers about the reason their infants receive vitamin >. The nurse evaluates instruction as being effective when the mothers make which statement 1. !9ur babies #o not nee# an injection of vitamin > unless blee#ing is observe#.! 2. !9ur babies will be able to get enough vitamin > through breast milk.! 3. !9ur babies #o not have enough intestinal bacteria to synthesi7e vitamin >.! 4. !9ur babies coul# receive vitamin > through a li.ui# or an injection.! Correct Answer: ? Rationa e 1+ ,itamin > injection must be use# before blee#ing is observe# in the infant. Rationa e 2+ ,itamin > is not present in high enough amounts in breast milk to protect the infant from blee#ing. Rationa e 3+ The infant&s gut is sterile) so there is ina#e.uate bacteria to synthesi7e vitamin >) which is essential to promote bloo# clotting. Rationa e 4+ The stimulus for vitamin > rests with an injection) not a li.ui# form) to promote bloo# clotting an# stimulate intestinal synthesis of the vitamin. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ 3valuation %earnin# )utcome: *1"* Question , Type: MCSA A pregnant client asks the nurse if she can take vitamin supplements in a##ition to her prenatal vitamins. What is the best response by the nurse 1. !As long as you meet the recommen#e# #aily allowance <@:A= re.uirements) there will be no problem.! 2. !The prenatal vitamins supply all the vitamins you nee# #uring your pregnancy.!
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3. !This is #angerous' we nee# to #o an ultrasoun# of your baby.! 4. !-ring in your vitamins on the ne$t visit so we can inclu#e them in your chart.! Correct Answer: 1 Rationa e 1+ A##itional vitamins coul# lea# to to$icity' the client shoul# not take a##itional vitamin supplements as the @:A re.uirements are met by the prenatal vitamins. Rationa e 2+ /renatal vitamins supply all the vitamins a client nee#s #uring a pregnancy' there is no nee# for a##itional supplementation. Rationa e 3+ An ultrasoun# of the baby is premature an# this comment woul# unnecessarily alarm the client. Rationa e 4+ A##itional vitamins coul# lea# to to$icity an# be #angerous for the fetus' the nurse shoul# not tell the client the vitamins will be inclu#e# in the chart. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1"? Question Type: MCSA The client receives topical vitamin A for the treatment of psoriasis. Which laboratory test will the nurse review when assessing for an a#verse effect 1. Serum calcium level 2. Hemoglobin level 3. Thyroi# profile 4. Serum potassium level Correct Answer: 5 Rationa e 1+ ,itamin A may increase serum calcium. Rationa e 2+ There is no reason to assess the hemoglobin level. Rationa e 3+ There is no reason to assess the thyroi# profile.
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Rationa e 4+ There is no reason to assess the serum potassium level. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1"A Question . Type: MCMA Which clinical con#itions woul# the nurse most likely associate with a client who has a #ocumente# history of alcoholism Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te*t: Select all that apply. 1. /ernicious anemia 2. Thiamine #eficiency 3. Scurvy 4. ,itamin A #eficiency +. /ellagra Correct Answer: 1)?)*)8 Rationa e 1+ /ernicious anemia is associate# with an inability to pro#uce vitamin -51) not alcoholism. Rationa e 2+ Thiamine #eficiency is commonly seen in alcoholic clients. Rationa e 3+ Alcoholics are among those at highest risk for vitamin C #eficiency or scurvy. Rationa e 4+ ,itamin A #eficiency is cause# by prolonge# #ietary #eprivation that may occur in alcoholism. Rationa e ++ /ellagra is a niacin #eficiency that is commonly seen in alcoholic clients. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation
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&ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1"* Question / Type: MCSA The client has preeclampsia an# might re.uire magnesium sulfate therapy. Which of the following is a critical assessment parameter by the nurse 1. (etal heart soun#s 2. :eep ten#on refle$es 3. /eripheral e#ema 4. -reath soun#s Correct Answer: 1 Rationa e 1+ (etal heart soun#s) although always important) are not the critical assessment in this situation. Rationa e 2+ A #ecrease in #eep ten#on refle$es in#icates that the client has a low magnesium level. This puts the client at risk for sei7ures relate# to preeclampsia. Rationa e 3+ /eripheral e#ema is not a critical assessment in this situation. Rationa e 4+ -reath soun#s) although always important) are not the critical assessment in this situation. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1"54 Question 10 Type: MCSA The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse inclu#e 1. Check the fee#ing tube for resi#ual prior to initiating fee#ings. 2. @emove the solution from the refrigerator ?4 minutes prior to hanging. 3. Withhol# oral me#ications while the total parenteral nutrition <T/0= is hanging.
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4. Maintain a #e#icate# percutaneous en#oscopic gastrostomy </3B= tube for the solution. Correct Answer: 1 Rationa e 1+ Checking the tube for resi#ual is #one with enteral fee#ings) not parenteral fee#ings. Rationa e 2+ A col# infusion coul# cause irritation to the intravenous <%,= site. Rationa e 3+ The client can continue to receive oral me#ications while total parenteral nutrition <T/0= is infusing. Rationa e 4+ /arenteral infusions are #one through an intravenous <%,= line) not a percutaneous en#oscopic gastrostomy </3B= tube. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ /lanning %earnin# )utcome: *1"C Question 11 Type: MCSA The client is a vegetarian. What information woul# the nurse give the client as it relates to the avoi#ance of vitamin #eficiencies 1. A vegetarian #iet is a#e.uate to meet all of your nee#s) so there shoul# be no vitamin #eficiencies. 2. Dook at the types of foo#s eaten on the vegetarian #iet) an# evaluate for possible vitamin -51 sources. 3. %ncreasing flui#s an# fiber with the vegetarian #iet will help prevent vitamin #eficiencies. 4. 6ou are at risk for vitamin C #eficiencies by following a vegetarian #iet. Correct Answer: 1 Rationa e 1+ A vegetarian #iet may not be a#e.uate' it #epen#s on the type of vegetarian #iet the client is following. Rationa e 2+ ,itamin -51 is foun# only in animal sources) but this #oes inclu#e eggs an# #airy pro#ucts. Some vegetarian #iets allow eggs an#2or #airy pro#ucts. Rationa e 3+ %ncreasing flui#s an# fiber will not help correct any vitamin #eficiencies. Rationa e 4+ A vegetarian #iet is almost never #eficient in vitamin C as this vitamin is plentiful in fruits an# vegetables.
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! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1"54 Question 12 Type: MCSA The nurse teaches el#erly citi7ens at a senior citi7en center about the effectiveness of vitamin C in preventing the common col#. The nurse evaluates that learning has occurre# when the el#erly citi7ens make which statement 1. !,itamin C) in the form of orange juice) is the most effective ai# in preventing the common col#.! 2. !There is no proof that vitamin C prevents the common col#.! 3. !,itamin C is only effective in preventing the common col# if 1 grams2#ay are taken.E 4. !,itamin C must be taken prior to the onset of the col# to be most effective.! Correct Answer: 1 Rationa e 1+ There is no clinical evi#ence to support that orange juice is the most effective form of vitamin C in preventing the common col#. Rationa e 2+ The ability of vitamin C to prevent the common col# has not been #efinitely prove#. Rationa e 3+ The efficacy of vitamin C against the common col# has not been proven. Rationa e 4+ There is no evi#ence to support that vitamin C must be taken before a col# in or#er to be effective. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ 3valuation %earnin# )utcome: *1"1 Question 13 Type: MCSA The nurse teaches young females in college about the importance of vitamins for anyone planning on becoming pregnant. Which vitamin #oes the nurse inclu#e as being most essential in the prevention of neural tube #efects in a fetus
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1. Thiamine 2. 0iacin 3. @iboflavin 4. (olic aci# Correct Answer: * Rationa e 1+ (olic aci#) not thiamine) is the vitamin that is essential for the prevention of neural tube #efects in a fetus. Rationa e 2+ (olic aci#) not niacin) is the vitamin that is essential for the prevention of neural tube #efects in a fetus. Rationa e 3+ (olic aci#) not riboflavin) is the vitamin that is essential for the prevention of neural tube #efects in a fetus. Rationa e 4+ (olic aci# is the vitamin that is essential for the prevention of neural tube #efects in a fetus. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1"1 Question 14 Type: MCSA The client is receiving total parenteral nutrition. What #oes the best plan by the nurse inclu#e to prevent complications from total parenteral nutrition <T/0= 1. Assess the client&s potassium levels. 2. Assess the client&s bloo# glucose levels. 3. Assess the client&s mental status. 4. Assess the client&s bloo# pressure. Correct Answer: 1 Rationa e 1+ The client&s potassium levels shoul# not be affecte# by total parenteral nutrition <T/0=.
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Rationa e 2+ Hyperglycemia may occur) as total parenteral nutrition <T/0= solutions contain concentrate# amounts of glucose. Rationa e 3+ The client&s mental status shoul# not be affecte# by total parenteral nutrition <T/0=. Rationa e 4+ -loo# pressure is not an essential assessment for a client receiving total parenteral nutrition <T/0=. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ /lanning %earnin# )utcome: *1"54 Question 1+ Type: MCSA ,itamins are organic substances nee#e# in 1. large amounts to #ecrease cell si7e. 2. large amounts to promote health. 3. small amounts to promote growth. 4. small amounts to increase cell si7e. Correct Answer: ? Rationa e 1+ Cells #o not supply vitamins' they are nee#e# in the #iet. Rationa e 2+ ,itamins are not nee#e# in large amounts. Rationa e 3+ ,itamins are nee#e# in small amounts to promote growth an# maintain health. Rationa e 4+ Cells #o not supply vitamins' they are nee#e# in the #iet. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1"5 Question 1,
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Type: MCSA ,itamin C is necessary for the 1. maintenance of vision. 2. regulation of #igestion. 3. #evelopment of bones an# teeth. 4. manufacture of platelets. Correct Answer: ? Rationa e 1+ ,ision is maintaine# by vitamin A. Rationa e 2+ ,itamin - helps with metabolic processes) such as #igestion. Rationa e 3+ ,itamin C is necessary for #evelopment of bones) teeth) an# bloo# vessels. Rationa e 4+ ,itamin C is not essential in the manufacturing of platelets. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: %earnin# )utcome: *1"1 Question 1Type: MCSA An important function of vitamin A is to 1. promote visual pigment of the eye. 2. act as an antio$i#ant. 3. help with the clotting of bloo#. 4. help with bile e$cretion. Correct Answer: 5 Rationa e 1+ ,itamin A is nee#e# for precursor retinol for normal vision.
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Rationa e 2+ ,itamin C an# 3 are antio$i#ants. Rationa e 3+ ,itamin > is important in the clotting of bloo#. Rationa e 4+ ,itamin - can help with metabolic processes. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: %earnin# )utcome: *1"1 Question 1. Type: MCSA Which of the following vitamins can be to$ic if consume# in large amounts 1. 0iacin 2. ,itamin C 3. ,itamin A 4. (olic aci# Correct Answer: ? Rationa e 1+ 0iacin is vitamin -) an# therefore water"soluble. Rationa e 2+ ,itamin C is a water"soluble vitamin) an# cannot be to$ic. Rationa e 3+ ,itamin A is lipi#"soluble) an# can be to$ic in large amounts. Rationa e 4+ (olic aci# is a - vitamin) an# is water"soluble. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: %earnin# )utcome: *1"1 Question 1/ Type: MCSA
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:eficiencies in cyanocobalamin <-51= can result in 1. pellagra. 2. pernicious anemia. 3. rickets. 4. scurvy. Correct Answer: 1 Rationa e 1+ /ellagra is a #eficiency of niacin. Rationa e 2+ Cyanocobalamin <-51= #eficiency can result in pernicious or megaloblastic anemia) an# can re.uire pharmacotherapy. Rationa e 3+ @ickets is vitamin : #eficiency. Rationa e 4+ Scurvy is a #eficiency of vitamin C. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: %earnin# )utcome: *1"* Question 20 Type: MCSA The nurse is aware that efficient absorption of calcium is assiste# by 1. intrinsic factor. 2. coen7ymes. 3. phosphorus. 4. vitamin :. Correct Answer: * Rationa e 1+ 3fficient absorption of calcium is assiste# by vitamin :. Rationa e 2+ 3fficient absorption of calcium is assiste# by vitamin :.
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Rationa e 3+ 3fficient absorption of calcium is assiste# by vitamin :. Rationa e 4+ 3fficient absorption of calcium is assiste# by vitamin :. ! o"a Rationa e: Co#niti$e %e$e : @emembering C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: %earnin# )utcome: *1"8 Question 21 Type: MCMA A woman calls the emergency #epartment an# says) FMy 1"year"ol# just swallowe# about 14 of my magnesium tablets.E What #irection shoul# the nurse provi#e Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te*t: Select all that apply. 1. FCall A55 to bring your chil# to the emergency room imme#iately.E 2. FWatch your chil# for #ecrease# breathing.E 3. FBive your chil# a glass of milk.E 4. F6our chil# may be sleepy) but will not have any permanent #amage.E +. FBive your chil# a la$ative tonight an# come to the emergency room in the morning.E Correct Answer: 5)1 Rationa e 1+ This is an emergency situation an# the chil# will re.uire treatment. Rationa e 2+ While waiting for the ambulance) the mother shoul# observe the client for respiratory suppression. Rationa e 3+ :rinking milk will not provi#e an anti#ote for magnesium over#ose. Rationa e 4+ This over#ose is an emergency situation. Rationa e ++ The chil# nee#s imme#iate assessment an# treatment. ! o"a Rationa e: Co#niti$e %e$e : Analy7ing
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C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1.G Question 22 Type: MCMA A nurse is concerne# that a client is not eating a sufficient amount. Which assessment fin#ings woul# support this concern Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te*t: Select all that apply. 1. The client complains of weakness. 2. The clientHs muscles appear waste#. 3. The client #oesnHt remember what #ay it is. 4. The clientHs subcutaneous fat layer is thinner. +. The clientHs skin is oily. Correct Answer: 5)1)* Rationa e 1+ Benerali7e# weakness is a common assessment in the client with insufficient intake. Rationa e 2+ Muscle wasting is a common fin#ing associate# with insufficient intake of foo#. Rationa e 3+ Confusion is an assessment fin#ing associate# with many #isease processes an# is not particular to insufficient intake. Rationa e 4+ Doss of subcutaneous fat supports the #iagnosis of insufficient intake. Rationa e ++ %nsufficient intake woul# generally result in #ry) flaky skin. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /hysiological A#aptation &ursin#/(nte#rated Concepts: 0ursing /rocess+ Assessment %earnin# )utcome: *1.54 Question 23
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Type: MCMA A client is to receive enteral nutrition. Which information shoul# the nurse provi#e to the client an# family Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te*t: Select all that apply. 1. F0utrition can be given either intermittently or continuously.E 2. F6our nutrition will be a#ministere# through your veins.E 3. F6ou will still be able to eat if you woul# like to #o so.E 4. FMost enteral fee#ing consists of thinne# puree# foo#.E +. F3nteral fee#ings are milk base#.E Correct Answer: 5)? Rationa e 1+ 3nteral pro#ucts can be given intermittently by bolus or by continuous #rip. Rationa e 2+ /arenteral nutrition is a#ministere# through the venous system. 3nteral nutrition is #elivere# into the gastrointestinal tract. Rationa e 3+ The client can continue to eat while most nutrition is being provi#e# enterally. Rationa e 4+ Most enteral fee#ing is formula base#. Rationa e ++ (ormulas consist of various combinations of proteins) carbohy#rates) an# lipi#s an# are not milk base#. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1.C Question 24 Type: MCMA A client is prescribe# T/0. Which e#ucation shoul# the nurse provi#e Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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'tandard Te*t: Select all that apply. 1. F6ou will not be able to return home until the T/0 is #iscontinue#.E 2. F9nce you go home) you will come in twice a week for T/0.E 3. FSince this is going to be a long"term treatment) your T/0 will be given through a central line.E 4. F6our T/0 will be infuse# via an infusion pump.E +. FAll of your nutrition can be supplie# by T/0.E Correct Answer: ?)*)8 Rationa e 1+ T/0 can be manage# at home. Rationa e 2+ T/0 is a#ministere# continuously. Rationa e 3+ Dong"term therapy is provi#e# through a central line. Rationa e 4+ T/0 must be monitore# closely) so an infusion pump is necessary. Rationa e ++ T/0 supplies all a clientHs nutrition. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": /harmacological an# /arenteral Therapies &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1.C Question 2+ Type: MCMA A nurse is provi#ing a#ministration instruction to the wife of a client going home on intermittent enteral nutrition. Which information shoul# the nurse inclu#e Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te*t: Select all that apply. 1. FClean the e.uipment between each fee#ing a#ministration.E 2. F9nce mi$e#) enteral fee#ing shoul# hang no more than C hours.E 3. F@efrigerate any fee#ing that is not nee#e# for a fee#ing.E
A#ams, Pharmacology for Nurse: A Pathophysiologic Approach, *23 Copyright 145* by /earson 3#ucation) %nc.

4. F6ou may use plain tap water for sche#ule# tubing flushes.E +. FCheck placement of the fee#ing tube before starting the fee#ing.E Correct Answer: 5)?)*)8 Rationa e 1+ The e.uipment use# to provi#e enteral fee#ings shoul# be kept clean. Rationa e 2+ 3nteral fee#ings shoul# hang no more than * hours. Rationa e 3+ Inuse# fee#ing shoul# be refrigerate# to prevent spoilage. Rationa e 4+ /lain water is acceptable for tubing flushes. Rationa e ++ Confirmation of tube placement must be #one before each fee#ing. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: /hysiological %ntegrity C ient &eed 'u": @e#uction of @isk /otential &ursin#/(nte#rated Concepts: 0ursing /rocess+ %mplementation %earnin# )utcome: *1.C

A#ams, Pharmacology for Nurse: A Pathophysiologic Approach, *23 Copyright 145* by /earson 3#ucation) %nc.