The nurse is aware that there are medications that are taken that ...

[savannahhooper]

The nurse is aware that there are medications that are taken that alter the client's taste and may influence the dietary intake.
 
  In reviewing the medications taken by the clients on the unit, the nurse will consult with the nu-tritionist to develop a palatable meal plan for the client taking:
  1. Ampicillin
  2. Morphine
  3. Furosemide
  4. Acetaminophen

Question 2

For the client who is receiving parenteral nutrition via a central venous catheter, the nurse recog-nizes that a priority is to:
 
  1. Use sterile technique during the administration of the feedings
  2. Maintain the initial infusion rate at no more than 40 to 60 mL/hr
  3. Complete the administration of the feeding within 12 hours
  4. Have radiographic confirmation of the placement of the catheter

[carolinefletcherr]

Answer to Question 1

ANS: 1
Ampicillin may cause an alteration in taste. Opiates, such as morphine, cause decreased peristalsis and may result in constipation. Decreased drug absorption may occur when diuretics, such as fu-rosemide, are administered with food. Decreased acetaminophen absorption may occur if admin-istered with food. Overdose of acetaminophen is associated with liver failure. Morphine, furo-semide, and acetaminophen do not affect the client's sense of taste.

Answer to Question 2

ANS: 4
After catheter placement, the catheter is flushed with saline or heparin until the position is radio-graphically confirmed. Aseptic technique, not sterile technique, is used during the administration of feedings. An initial rate of 40 to 60 mL/hr is recommended, and the rate is gradually in-creased. The rate of administration is not the priority. The nurse must first confirm correct place-ment of the catheter. A single container of PN should hang no longer than 24 hours; lipids no more than 12 hours. The nurse must first confirm correct placement of the catheter before any infusion is begun.

[savannahhooper]

Excellent

[juliaf]

Gracias!