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 D
Explanation
Answer: D. Contact the provider who will be performing the procedure.
Rationale:
A) Provide teaching about the surgical procedure for the client:
While nurses play an essential role in patient education, it is the responsibility of the healthcare provider performing the procedure to ensure the patient fully understands the details, risks, and benefits. Nurses can clarify information but should not provide the initial comprehensive explanation of the procedure.
B) Instruct the client's spouse to sign the consent form:
The client is the one who needs to provide informed consent, not the spouse, unless the client is legally unable to do so. In such cases, legal documentation, such as a power of attorney, is required. Instructing the spouse to sign without proper authorization is inappropriate and potentially legally problematic.
C) Read the consent form to the client using words the client will understand:
While simplifying the language of the consent form can help, it is not sufficient if the client does not fully understand the procedure. Full understanding requires a detailed discussion about the procedure, risks, benefits, and alternatives, which should be done by the provider performing the procedure.
D) Contact the provider who will be performing the procedure:
The provider performing the procedure has the responsibility to ensure the client understands all aspects of the surgery. Contacting the provider to provide a thorough explanation ensures that the client receives accurate and complete information, allowing for truly informed consent.
Correct Answer is D
Explanation
Choice A rationale:
Instructing the client to take deep breaths during the test is not appropriate for a thoracentesis. This procedure involves the insertion of a needle into the pleural space to drain fluid or air, and taking deep breaths could interfere with the accuracy and safety of the procedure.
Choice B rationale:
Assisting the client to a prone position prior to the test is also incorrect. During a thoracentesis, the client is usually seated upright or in a slightly forward-leaning position to allow better access to the pleural space and improve breathing.
Choice C rationale:
Informing the client that the new onset of a cough is expected following the test is not accurate. While a cough can be a possible side effect, it is not a common or expected outcome of a thoracentesis.
Choice D rationale:
Applying pressure to the client's puncture site after the test is complete is the correct action. This helps to prevent bleeding and reduce the risk of pneumothorax (collapsed lung) by promoting clot formation at the site of the needle insertion.
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