Author Question: The client has been diagnosed with a severe anxiety disorder and has been admitted to the ... (Read 12 times)

lindiwe · **on:** Jul 22, 2018

The client has been diagnosed with a severe anxiety disorder and has been admitted to the psychiatric unit for treatment. The nurse suspects that the client may experience which of the following on admission?

1. Vomiting and diarrhea
2. Memory loss
3. Hypoventilation
4. Respiratory alkalosis

Question 2

Which statement is true regarding parenteral nutrition?

a. Parenteral nutrition consists of carbohydrates and fats, but not proteins.
b. Patients with a known egg allergy should not receive TPN with lipid emulsions.
c. Patients on peripheral nutrition should be gaining at least 2 pounds per week.
d. The tubing should be changed weekly.

shaquita · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Respiratory alkalosis

Rationale: Anxiety disorders increase the risk for the acid-base imbalance respiratory alkalosis, due to hyperventilation that accompanies anxiety. The client with anxiety does not necessarily have vomiting, diarrhea, or memory loss as risk factors. Anxiety will lead to hyperventilation, not hypoventilation.

Answer to Question 2

B
Components of parenteral nutrition include carbohydrates, amino acids, and lipids along with vitamins and trace elements. Patients with a known egg allergy should not receive parenteral nutrition with lipid emulsions. Rapid weight gain might indicate fluid overload. Most infection control guidelines recommend changing the tubing every 24 hours.