You are caring for a patient with a subclavian catheter who is receiving parenteral nutrition (PN). In preparing a care plan for this patient, what nursing diagnosis will you give highest priority to?

Question

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 loneliness related to need for isolation related to the presence of a subclavian catheter
D) Risk for caregiver role strain related to the care of a subclavian catheter

Answer 1

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. Ambulation and activities are encouraged when the patient is physically capable. A subclavian catheter does not limit a patient's activity, nor does it require the patient to be in isolation. Care of a subclavian catheter may be performed by the patient or a family member after the completion of a training program. Training and support will be provided by a community agency or hospital-based program, or the patient may receive PN infusions through an ambulatory center.