A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Elevated temperature

Peripheral edema

Hypertension

Erythema at the insertion site

Answer and Explanation

The Correct Answer is A

Fat overload syndrome is a rare but serious complication that can occur in clients receiving lipid infusion. It is typically characterized by fever.

Although spontaneous hemorrhage can occur, peripheral edema is not a typical feature of fat overload syndrome.

Hypertension is not a typical feature of fat overload syndrome. However, hypotension may occur due to fluid shift and vasodilation.

Erythema can occur at the site of infusion during lipid infusion. However, it is not a typical feature of fat overload syndrome.

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Correct Answer is B

Explanation

Prolonged oral corticosteroid use reduces the body’s secretion of endogenous steroids- cortisol as the body relies on the oral steroids. If abruptly stopped the body experiences severe adrenocortical insufficiency with symptoms such as fatigue, weakness, weight loss, nausea, vomiting, and low blood pressure. Tapering the dose allows the body to readjust and produce cortisol.
A, C, D- Are not effects of abrupt discontinuation of steroids

A. Respiratory alkalosis B. Metabolic alkalosis C. Metabolic acidosis D. Respiratory acidosis

Correct Answer is B

Explanation

Severe nausea and vomiting can lead to respiratory acidosis due to the loss of gastric contents, which contain hydrochloric acid. When vomiting is prolonged or severe, the loss of acid can result in metabolic alkalosis.

A. Respiratory alkalosis occurs due to hyperventilation in conditions such as anxiety, salicylism

C. metabolic acidosis occurs in conditions where there is increased secretion of acid for example DKA

D. Respiratory acidosis occurs due to impaired ventilation such as chest trauma

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A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Nursing Test Bank

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