The nurse is caring for a patient who is being treated with total parenteral nutrition (TPN). The patient is experiencing chest pain, and the nurse observes shortness of breath and coughing along with cyanosis
The nurse understands that this patient is most likely experiencing which condition?
a. Air embolism
b. Pneumonia
c. Pneumothorax
d. Pulmonary edema
ANS: A
Patients receiving TPN are at risk for air embolism and will report chest pain and be dyspneic with coughing and cyanosis. Patients with pneumonia will have cough and either adventitious breath sounds or diminished breath sounds. Patients with pneumothorax will have unilateral absent breath sounds and respiratory distress. Patients with pulmonary edema will have crackles and dyspnea.
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1. "Sometimes, enlarged lymph nodes indicate an infection.". 2. "All of your lymph nodes should be easily palpable.". 3. "The lymph system makes antibiotics to treat infection.". 4. "When one lymph node is identified as being enlarged, this is always an abnormal finding.".
Which of the following are reasons to involve an interpreter when working with a patient who speaks a different language than the nurse?
1. It is required by law. 2. In order to make an accurate assessment. 3. In order to develop a trusting relationship. 4. An interpreter is likely to provide the intent of the discussion.
The ultimate responsibility for an LPN/LVN remaining current in the nursing profession lies with
a. the state board of nursing. b. the employing agency. c. nursing organizations. d. the individual nurse.
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