NSG 2400 Inflammation TPN Study Questions with Answers

A client with a history of malabsorption syndrome is admitted to the hospital for medical management. Total parenteral nutrition (TPN) has been prescribed. What action will the nurse take to prevent a major reaction to the TPN infusion? 1 Record the intake and output. 2 Administer the infusion slowly. 3 Change the site every 24 hours. 4 Check the vital signs every 4 hours. 2 Total parenteral nutrition should be infused at a slow, constant rate; this will prevent both hyperglycemia and cellular dehydration from too rapid infusion of a hypertonic solution. Recording intake and output is essential because of the danger of fluid overload; however, monitoring will not prevent the complication. Generally a major vein is selected for administration of total parenteral nutrition; the site is not changed every 24 hours. Monitoring vital signs may identify a complication such as infection; monitoring will not prevent a complication from occurring. A client with a history of liver disease is found to have endometriosis. Which drug is contraindicated in this client? 1 Danazol 2 Celecoxib 3 Leuprolide 4 Ketoconazole 1 Danazol is a synthetic androgenic steroid that acts by suppressing secretion of follicle-stimulating hormone and luteinizing hormone. This results in decreased secretion of estrogen and progesterone and regression of endometrial tissue. It may result in decreased lipoprotein levels and an increase in low-density lipoprotein. It is contraindicated in clients with liver disease. Celecoxib, a nonsteroidal antiinflammatory drug, should be used with caution in liver disease. Leuprolide is a gonadotropin-releasing hormone (GnRH) agonist; it may be safe for use in clients with liver disease. Ketoconazole is a nonsteroidal antiinflammatory drug and should be used with caution in clients with liver disease. A client at the women's health clinic tells the nurse that she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? Select all that apply. 1 Insomnia 2 Ecchymosis 3 Rectal pressure 4 Abdominal pain 5 Skipped periods 6 Pelvic infections 3 4