A nurse is caring for a patient with a subclavian central line who is receiving parenteral nutrition (PN). In preparing a care plan for this patient, what nursing diagnosis should the nurse prioritize?
A) Risk for Activity Intolerance Related to the Presence of a Subclavian Catheter
B) Risk for Infection Related to the Presence of a Subclavian Catheter
C) Risk for Functional Urinary Incontinence Related to the Presence of a Subclavian Catheter
D) Risk for Sleep Deprivation Related to the presence of a Subclavian Catheter
Ans: B
Feedback:
The high glucose content of PN solutions makes the solutions an idea culture media for bacterial and fungal growth, and the central venous access devices provide a port of entry. Prevention of infection is consequently a high priority. The patient will experience some inconveniences with regard to toileting, activity, and sleep, but the infection risk is a priority over each of these.
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