This information pertains to the next 3 questions. A 38-year-old female patient was admitted to the medical unit with an 8-year history of ulcerative colitis (chronic inflammatory bowel disease [IBD]). She normally weighs 140 lb. She had recently lost 10% of her body weight in the past month and continues to experience abdominal pain, fatigue, and persistent bloody diarrhea. She has also lost an additional 2 lb in the last 2 days. She is not able to tolerate the continuous tube feeding of Isosource HN, which has been infusing at 45 mL/hr for the past 5 days. She is now dehydrated and a central line placement for bowel rest and nutritional support with parenteral nutrition (PN) has been ordered by the health care provider. The nutrition support service recommends 3-in-1 PN via the patient's left peripherally inserted central catheter (PICC). The goal is to cycle the PN over 12 hours at night, and the patient will go home on PN for several weeks. The nurse provides health teaching for the patient and family caregiver in preparation for her discharge on PN. Which evaluation findings indicate that the nursing interventions were effective? Patient gains 0.5 kg (1 lb) per week. Patient monitors blood glucose levels weekly. OPN bag hangs for 48 hours. Intake is greater than output. Patient decides not to use telehealth groups. Patient does not leave home during the day.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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This information pertains to the next 3 questions.
A 38-year-old female patient was admitted to the medical unit with an 8-year history of ulcerative
colitis (chronic inflammatory bowel disease [IBD]). She normally weighs 140 lb. She had recently lost
10% of her body weight in the past month and continues to experience abdominal pain, fatigue, and
persistent bloody diarrhea. She has also lost an additional 2 lb in the last 2 days. She is not able to
tolerate the continuous tube feeding of Isosource HN, which has been infusing at 45 mL/hr for the
past 5 days. She is now dehydrated and a central line placement for bowel rest and nutritional
support with parenteral nutrition (PN) has been ordered by the health care provider. The nutrition
support service recommends 3-in-1 PN via the patient's left peripherally inserted central catheter
(PICC). The goal is to cycle the PN over 12 hours at night, and the patient will go home on PN for
several weeks. The nurse provides health teaching for the patient and family caregiver in preparation
for her discharge on PN.
Which evaluation findings indicate that the nursing interventions were effective?
Patient gains 0.5 kg (1 lb) per week.
Patient monitors blood glucose levels weekly.
PN bag hangs for 48 hours.
Intake is greater than output.
Patient decides not to use telehealth groups.
Patient does not leave home during the day.
Transcribed Image Text:This information pertains to the next 3 questions. A 38-year-old female patient was admitted to the medical unit with an 8-year history of ulcerative colitis (chronic inflammatory bowel disease [IBD]). She normally weighs 140 lb. She had recently lost 10% of her body weight in the past month and continues to experience abdominal pain, fatigue, and persistent bloody diarrhea. She has also lost an additional 2 lb in the last 2 days. She is not able to tolerate the continuous tube feeding of Isosource HN, which has been infusing at 45 mL/hr for the past 5 days. She is now dehydrated and a central line placement for bowel rest and nutritional support with parenteral nutrition (PN) has been ordered by the health care provider. The nutrition support service recommends 3-in-1 PN via the patient's left peripherally inserted central catheter (PICC). The goal is to cycle the PN over 12 hours at night, and the patient will go home on PN for several weeks. The nurse provides health teaching for the patient and family caregiver in preparation for her discharge on PN. Which evaluation findings indicate that the nursing interventions were effective? Patient gains 0.5 kg (1 lb) per week. Patient monitors blood glucose levels weekly. PN bag hangs for 48 hours. Intake is greater than output. Patient decides not to use telehealth groups. Patient does not leave home during the day.
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