a nurse is caring for a client who has crohns disease and is receiving parenteral nutrition which of the following interventions should the nurse not
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1. A client with Crohn's disease is receiving parenteral nutrition. Which of the following interventions should the nurse not include in the care of this client?

Correct answer: B

Rationale: In caring for a client receiving parenteral nutrition, it is important to follow proper guidelines to ensure safety and effectiveness. Unused parenteral nutrition should be removed after 24 hours, not 12 hours, to prevent contamination and reduce the risk of infection. Option A is correct as it ensures the solution is at room temperature before infusion. Option C is essential for monitoring the client's response to parenteral nutrition. Option D is important to maintain the correct flow rate and adjust it as needed. Therefore, option B is the incorrect choice among the options provided.

2. A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?

Correct answer: C

Rationale: The correct answer is to encourage the client to rest prior to mealtimes. This intervention can help reduce fatigue and improve the ability to swallow. Turning on the client’s television during meals (choice A) may distract the client but does not directly address the swallowing issue. Placing the client into a semi-reclining position for meals (choice B) can help with swallowing difficulties, but resting before meals is more beneficial. Encouraging the client to use a straw when drinking liquids (choice D) is not the priority intervention for swallowing difficulties in this scenario.

3. Which of the following methods is the best method for determining nasogastric tube placement in the stomach?

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. You are to apply a transdermal patch of nitoglycerin to your client. The following are important guidelines to observe EXCEPT:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

5. How do foods or supplements containing significant amounts of plant sterols help lower LDL cholesterol levels?

Correct answer: D

Rationale: Plant sterols interfere with cholesterol and bile absorption in the intestines. This interference helps lower LDL cholesterol levels by reducing the amount of cholesterol that enters the bloodstream. Choices A, B, and C are incorrect because plant sterols primarily work by interfering with cholesterol and bile absorption, not by reducing cholesterol synthesis, suppressing inflammation, or reducing blood clotting.

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