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Top nursing process step assessment msc nclex

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TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity24. A patient, who has a tube feeding, requires a chest x-ray study for evaluation of a cough. To reduce the riskTest Bank - Introduction to Critical Care Nursing 7e (Sole 2016)78Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: briana1827 | [email protected]Distribution of this document is illegal
Stuvia.com - The Marketplace to Buy and Sell your Study Materialof aspiration, the nurse:a.helps the radiology technician to position the patient to avoid dislodging the tube.b.holds feedings until placement has been verified.c.slows the infusion rate by half.d.stops feedings 10 to 15 minutes before placing flat to obtain the radiograph.ANS: DTemporarily stopping feedings when flat minimizes the risk of aspiration if the patient will be supine.DIF: Cognitive Level: Analysis REF: p. 89 | Table 6-4 | Evidence-Based PracticeOBJ: Describe strategies for monitoring and evaluating the nutrition care plan.TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological IntegrityMULTIPLE RESPONSE1. Which statement(s) about total parenteral nutrition is (are)true? (Select all that apply.)a.Assessing fluid volume status and preventing infection are important nursing considerations.b.Fingerstick glucose levels are assessed every 6 hours and prn.c.Total parenteral nutrition is administered through a feeding tube and pump.d.Total parenteral nutrition, with added lipids, provides adequate levels of protein, carbohydrates,and fats.ANS: A, B, DAll are correct except administration via a feeding tube and pump. A tube and pump are used to deliver enteralnutrition.DIF: Cognitive Level: Analysis REF: p. 89OBJ: Describe strategies for monitoring and evaluating the nutrition care plan.TOP: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity2. Which intervention(s) is (are) critical during intravenous lipid administration?(Select all that apply).a.Assess glucose levels.b.Change the tubing every 24 hours.Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)79Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: briana1827 | [email protected]Distribution of this document is illegal
Stuvia.com - The Marketplace to Buy and Sell your Study Materialc.Hold lipids when administering antibiotics through the same line.d.Monitor triglyceride levels.ANS: B, DLipids are very good media for bacterial growth; lipid tubing should be changed every 24 hours. Triglyceridelevels must be monitored until stable when administering lipids.DIF: Cognitive Level: Analysis REF: pp. 89-90OBJ: Monitor and evaluate the nutrition plan of care.TOP: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity3. Calorie-dense feedings:(Select all that apply.)a.are most useful in heart failure and liver disease.

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Nursing, Critical Care Nursing

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