Re: Study Group Question.........................Do you think you know it?

I came across this question but have a doubting mind regarding the correct answer, so i decided to throw out the question to see what is your own take and give us the rationale for picking the answer.

An RN receives an order that read: Add 2mg of folic acid to the next bag of TPN. The nurse should

1-Inject the Folic acid into the bag of the TPN using a sterile procedure.
2-Send the next numbered of bag of TPN along with the order to the pharmacy.
3-Look on the compatibility chart to determine if folic acid is safe to be mixed with TPN.
4-Call the physician and question the order.

Re: Study Group Question.........................Do you think you know it?

wouldnt you wanna call the dr d/t the fact you cant mix anything in TPN.

Re: Study Group Question.........................Do you think you know it?

Originally Posted by jarlesha

wouldnt you wanna call the dr d/t the fact you cant mix anything in TPN.

What is your answer?

Re: Study Group Question.........................Do you think you know it?

When dealing with TPN I would call the doctor!!!! The order is not clarified and all you are given is 2mg of folic acid added with the next round of TPN..I just think it could mean many different things, and since I would be the one administering it, I would not do so without clarification from the doc....To many things can go wrong with TPN!

Re: Study Group Question.........................Do you think you know it?

Originally Posted by soon2bRN516

When dealing with TPN I would call the doctor!!!! The order is not clarified and all you are given is 2mg of folic acid added with the next round of TPN..I just think it could mean many different things, and since I would be the one administering it, I would not do so without clarification from the doc....To many things can go wrong with TPN!

The order is RIGHT.
The answer is B because TPN should never be altered on the nursing unit and it can only be done by the pharmacy.
The other option are incorrect. Option 3 says to check for compatibility before mixing folic acid to TPN, even though the folic acid is compatible with TPN, nothing should be added to the TPN in the nursing unit because there is probability of introducing infection to the TPN

Re: Study Group Question.........................Do you think you know it?

What will you do,if you notice a pt who is on IV replacement experiencing dyspnea, R 34, and HR 120. You check is lung sounds bilaterally and heard crackles. what would be your best action

1- Notify the physician
2- Perform suctioning
3- decrease the IV flow rate
4- continue to monitor the pt.

Re: Study Group Question.........................Do you think you know it?

c- the pt is experiencing an overload

Re: Study Group Question.........................Do you think you know it?

Originally Posted by jarlesha

c- the pt is experiencing an overload

Re: Study Group Question.........................Do you think you know it?

what is the best position for a child with a ventriculoperitoneal shunt to drain excess fluid post-opt?

what is the drug of choice to treat a pt with Rheumatoid arthritis?

Re: Study Group Question.........................Do you think you know it?

I know i'm gonna be wrong but i'll take a shot. Position post op wold be supine. And an Nsaid for ra. I know i'm wrong