A nurse is assessing a client who is receiving IV fat emulsion therapy. Which of the following findings should the nurse identify as a manifestation of fat overload syndrome?
Hypertension.
Weight gain.
Fever.
Hypoglycemia.
The Correct Answer is B
Choice A rationale:
Hypertension is not a manifestation of fat overload syndrome. Fat overload syndrome occurs when the body is unable to metabolize a large amount of fat delivered by IV fat emulsions, leading to fat accumulation in organs such as the lungs, liver, and bone marrow.
Choice B rationale:
Weight gain is a common manifestation of fat overload syndrome. The excess fat not metabolized accumulates in the body, leading to weight gain and potential complications.
Choice C rationale:
Fever is not directly related to fat overload syndrome. This condition primarily involves the accumulation of fat and its related complications rather than causing fever.
Choice D rationale:
Hypoglycemia is not associated with fat overload syndrome. This condition results from low blood sugar levels and is not directly related to the administration of IV fat emulsions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Taking colesevelam on an empty stomach is not necessary. This medication can be taken with food to reduce gastrointestinal side effects.
Choice B rationale:
Increasing fiber in the diet is generally beneficial for bowel health, but it is not specific to the use of colesevelam powder for oral suspension.
Choice C rationale:
This is the correct answer because if the oral suspension of colesevelam is cloudy after mixing, it indicates that the medication may have degraded or is not suitable for consumption. Discarding the cloudy suspension ensures that the client receives the appropriate dose and effectiveness of the medication.
Choice D rationale:
Avoiding grapefruit juice is important for some medications, but it is not relevant to colesevelam. Grapefruit juice can interfere with the metabolism of certain drugs, but it does not have a significant effect on colesevelam.
Correct Answer is B
Explanation
Choice A rationale:
A defined area of cool, boggy skin is not indicative of a stage 2 pressure injury. Stage 2 pressure injuries involve partial-thickness skin loss, usually appearing as a shallow open ulcer with a red-pink wound bed, without slough or bruising.
Choice B rationale:
A shallow crater involving the epidermis is characteristic of a stage 2 pressure injury. It presents as a partial-thickness skin loss with the loss of the epidermis, and the wound may be superficial and appear as an abrasion, blister, or shallow ulcer.
Choice C rationale:
The reddened area that does not blanch is more indicative of an early-stage pressure injury (Stage 1). In Stage 1, the skin remains intact, but there is non-blanch-able erythema indicating damage to the skin and underlying tissue.
Choice D rationale:
Undermining or tunneling of the skin is not specific to stage 2 pressure injuries. These features may be observed in more advanced stages of pressure injuries, such as stages 3 and 4, where there is full-thickness skin loss with damage to the subcutaneous tissue and underlying structures.
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