Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)?

Correct Answer: B

Rationale: Changing TPN every 24 hours prevents bacterial growth in the hypertonic solution.

Correct Answer: A

Rationale: Afternoon naps can interfere with nighttime sleep.

Correct Answer: D

Rationale: Florence Nightingale developed nursing's first theory in the 1850s, focusing on environmental manipulation for recovery e.g., improving sanitation in Crimean War hospitals. Hammurabi (lawmaker), Alexander (conqueror), and Fabiola (early caregiver) contributed historically but didn't theorize nursing. Nightingale's work formalized the profession, influencing modern standards like infection control, marking her as the pioneer theorist.

Correct Answer: A

Rationale: The Apprentice Period (6th-19th centuries) saw Christian orders like the Sisters of Charity emerge to nurse the sick, driven by faith e.g., tending plague victims. Unlike Dark (decline), Contemporary (modern), or Educative (formal schools), this era blended religious duty with care, laying nursing's compassionate foundation.

Correct Answer: A

Rationale: Assessment, the first nursing process step, gathers data via interview (history), observation (vitals), and examination (physical) e.g., noting a patient's dyspnea. Planning sets goals, implementation acts, and evaluation reviews outcomes. This systematic data collection, per Gordon's framework, drives accurate care planning in practice.