Which client does the nurse identify as having the greatest risk for the development of sepsis?
A 59-year-old with rheumatoid arthritis.
A 71-year-old with a PICC line for TPN.
A 14-year-old with asthma and bronchitis.
A 39-year-old with renal calculi.
The Correct Answer is B
Choice A reason: While individuals with rheumatoid arthritis may have an increased risk of infection due to the disease itself or the use of immunosuppressive medications, it does not pose as high a risk as intravenous lines for sepsis.
Choice B reason: A peripherally inserted central catheter (PICC) line, especially when used for total parenteral nutrition (TPN), presents a significant risk for infection due to the direct access to the bloodstream, making this client at the highest risk for sepsis.
Choice C reason: Asthma and bronchitis can lead to respiratory infections, but these conditions do not typically result in sepsis unless the infection becomes severe and systemic.
Choice D reason: Renal calculi (kidney stones) can cause infections; however, they are less likely to lead to sepsis compared to a central line.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hyperglycemia is not typically a nonmotor symptom of Parkinson's disease. It is more commonly associated with metabolic conditions such as diabetes.
Choice B reason: Hypertension is not a nonmotor symptom specific to Parkinson's disease, although it can be present in many other conditions.
Choice C reason: Diarrhea is not commonly a nonmotor symptom of Parkinson's disease. Gastrointestinal symptoms like constipation are more prevalent.
Choice D reason: Depression is a recognized nonmotor symptom of Parkinson's disease. It can significantly affect the quality of life and is often underdiagnosed in these patients.
Correct Answer is C
Explanation
Choice A reason: Encouraging ambulation is not a priority during a thyroid storm, as it can exacerbate symptoms.
Choice B reason: Sending a urine sample for culture is not related to the immediate management of thyroid storm.
Choice C reason: Monitoring temperature is crucial in the management of thyroid storm, as hyperthermia is a common and serious symptom.
Choice D reason: Administering levothyroxine during a thyroid storm would be contraindicated, as it could worsen the condition.
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