The nurse is assessing a client for complications associated with parenteral nutrition therapy. The nurse checks for crackles (rales) and weight gain to identify a(n):
1. fluid overload.
2. pneumothorax.
3. air embolism.
4. infection.
Correct Answer: 1
Rationale 1: Fluid overload is associated with dyspnea, distended neck veins, crackles (rales), and weight gain.
Rationale 2: Pneumothorax is associated with sharp chest pain and decreased breath sounds.
Rationale 3: Air embolism is associated with shortness of breath, chest pain, and cyanosis.
Rationale 4: Infection is associated with fever, increased WBC, and positive blood cultures.
Global Rationale: Fluid overload is associated with dyspnea, distended neck veins, crackles (rales), and weight gain. Pneumothorax is associated with sharp chest pain and decreased breath sounds. Air embolism is associated with shortness of breath, chest pain, and cyanosis. Infection is associated with fever, increased WBC, and positive blood cultures.
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