A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Choice A reason:

Fatigue in a professional dancer can be a sign of inadequate nutrition, overtraining, or underlying health issues. Dancers require a high level of energy and proper nutrition to maintain their performance and health. Persistent fatigue could indicate that the client is not consuming enough calories or nutrients to meet their energy demands, or it could be a symptom of overtraining or other medical conditions. Further assessment is necessary to identify the cause of the fatigue and to develop an appropriate intervention plan to ensure the client’s health and performance are not compromised.

Choice B reason:

Sweaty palms can be a sign of anxiety or hyperhidrosis, but it is not as critical as fatigue in the context of a professional dancer’s nutritional assessment. While it may warrant further investigation, it does not directly indicate a nutritional deficiency or overtraining.

Choice C reason:

Bunions are a common issue for dancers due to the physical demands placed on their feet. However, they are more related to the physical impact of dancing rather than nutritional status. Addressing bunions is important for the dancer’s comfort and performance, but it does not require immediate nutritional assessment.

Choice D reason:

Dry skin can be a sign of dehydration or nutritional deficiencies, but it is not as urgent as fatigue. While it is important to address, it does not pose an immediate threat to the dancer’s performance and overall health. The primary focus should be on assessing and addressing the cause of fatigue.

Choice D reason:

Foods rich in Vitamin K are essential for blood clotting and can help address the issue of bruising. Antibiotics can sometimes interfere with the gut bacteria that produce Vitamin K, leading to deficiencies. By recommending foods high in Vitamin K, such as leafy greens, the nurse can help improve the client’s clotting ability and reduce bruising.

Choice A reason:

Increased proteins rich in iron are beneficial for overall health and can help with anemia, but they do not directly address the issue of bruising. The primary concern here is the client’s clotting ability, which is more directly impacted by Vitamin K levels.

Choice B reason:

Potassium-rich fruits are important for maintaining electrolyte balance, especially if the client has experienced diarrhea. However, they do not directly address the issue of bruising and clotting. The focus should be on replenishing Vitamin K to improve clotting.

Choice C reason:

Reduced cholesterol and fats can be part of a healthy diet, but they do not address the immediate concern of bruising. The nurse’s priority should be to recommend dietary changes that directly impact the client’s clotting ability, such as increasing Vitamin K intake.