A client is receiving total parenteral nutrition (TPN) via a central line. Which condition predisposes this client to infection?
a. High protein content in the TPN
b. WBC count of 7800/mm
c. Line being in a small IV line
d. Glucose content of the solution
ANS: D
Glucose creates a medium for bacterial growth.
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The nurse is evaluating the chest radiograph of a critically ill patient and notices that the patient's trachea has shifted to the left of midline. What additional finding would confirm the presence of a pneumothorax?
A) Absent or diminished breath sounds on the right B) Lung fields generally white on chest radiograph C) Lung fields dull to percussion on the right D) Blunting of costophrenic angles on chest radiograph
The nurse, describing infant mortality for a population, could use which of the following statements correctly?
A) ?There are 10,000 children that die annually in a given country. B) ?A hospital has 5 stillbirths and 400 live births annually. C) ?A county reports 7 SIDS-related deaths, 4 AIDS-related deaths, and 5 accidental deaths in a single year. D) ?A state health department reports 12 deaths in children under age 1 for every 1,000 births each year.
The nurse has identified a number of risk nursing diagnoses in the care of an adolescent who has been admitted to the hospital for treatment of an eating disorder. These risk diagnoses indicate which of the following?
A) The client is more vulnerable to certain problems than other individuals would be. B) The diagnoses present significant risks for the development of medical diagnoses. C) The data necessary to make a definitive nursing diagnosis is absent. D) The diagnosis has yet to be confirmed by another practitioner.
The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home
The nurse knows the daughter understands the father's care needs when she states which of the following? a. "Dad will only need my help for a short time, and then he will get better." b. "I can leave dad alone during the day; I'll just deadbolt the door." c. "I can send dad to the adult daycare; that way I can work and care for him at night." d. "Dad misses mom since she passed; he will be okay in a few weeks."