Author Question: The nurse is admitting a 75-year-old patient into the gastrointestinal laboratory for a routine ... (Read 59 times)

newbem · **on:** Jul 22, 2018

The nurse is admitting a 75-year-old patient into the gastrointestinal laboratory for a routine colonoscopy.

During the assessment, the nurse learns that the patient's spouse died 4 months earlier because of stomach cancer and that the patient has not been sleeping well. Which phase of Bowlby's mourning phases does the nurse suspect? a. The numbing phase
b. The yearning/searching phase
c. The disorganization phase
d. The reorganization phase

Question 2

A patient is receiving parenteral nutrition (PN). While caring for the patient receiving PN what is the nurse's best action?

a. Begin the infusion at 150 mL/hour.
b. Maintain a consistent infusion rate.
c. Touch the insertion site itself with a clean-gloved hand.
d. Monitor the laboratory values on a weekly basis.

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

Answer to Question 1

B
The yearning and searching phase evokes emotional outbursts, tearful sobbing, and acute distress. Common physical symptoms include tightness in the chest and throat, shortness of breath, a feeling of weakness and lethargy, insomnia, and loss of appetite. In the numbing phase, a person has periods of extremely intense emotion and reports feeling stunned or unreal. The person often expresses anger at anyone he or she believes to be responsible. During the final phase of reorganization, the person accepts unaccustomed roles, acquires new skills, and builds new relationships.

Answer to Question 2

B
The solution is provided at a specified rate using an infusion pump over the course of the day to meet the patient's nutritional needs. Parenteral nutrition is usually started at a lower rate, for example, 40 to 60 mL/hour, and then advanced to meet the patient's goal rate as tolerance is demonstrated. If the site itself must be touched, wear a sterile glove, not a clean glove. Frequent laboratory measurements for metabolic or electrolyte abnormalities as well as assessment of fluid balance, weight trend, and the ability to heal should occur during administration. Laboratory monitoring includes frequent blood glucose testing because the high dextrose (glucose) content of the solution can easily lead to hyperglycemia and require supplemental insulin as needed. Monitoring laboratory values on a weekly basis is too long and could lead to complications.