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?

Start 10% dextrose IV at the TPN prescribed rate.

Review chest x-ray report for central line placement.

Instruct UAP to obtain hourly blood glucose levels.

Redress the central line site using sterile technique.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Reviewing the chest x-ray report for central line placement is crucial to ensure that the central venous catheter is correctly positioned before starting TPN. Proper placement of the CVC is essential to prevent complications such as pneumothorax, incorrect infusion, or damage to surrounding structures. Confirming the placement through a chest x-ray ensures the safety and effectiveness of the TPN administration.

Choice A reason:

Starting 10% dextrose IV at the TPN prescribed rate is not appropriate until the correct placement of the CVC is confirmed. Administering dextrose without verifying the catheter placement can lead to serious complications if the catheter is not correctly positioned.

Choice C reason:

Instructing UAP to obtain hourly blood glucose levels is important once TPN is initiated, as TPN can significantly affect blood glucose levels. However, this step should come after confirming the correct placement of the CVC.

Choice D reason:

Redressing the central line site using sterile technique is important for preventing infection, but it is not the immediate priority. Ensuring the correct placement of the CVC through a chest x-ray is the first step before any other actions are taken.

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Correct Answer is A

Explanation

Choice A reason:

Unpasteurized milk poses significant health risks because it can contain harmful bacteria such as E. coli, Salmonella, and Listeria. These pathogens can cause serious illness, especially in vulnerable populations such as children, the elderly, and those with weakened immune systems. It is crucial for the nurse to inform the client about the risks associated with consuming unpasteurized milk and to recommend pasteurized alternatives to ensure food safety.

Choice B reason:

Organically grown fruits are generally safe and can be a healthy choice. While they may have lower pesticide residues compared to conventionally grown fruits, they do not pose the same immediate health risks as unpasteurized milk. The focus should be on ensuring the client washes all fruits thoroughly before consumption.

Choice C reason:

Wheat germ is a nutritious food that provides vitamins, minerals, and fiber. It does not pose significant health risks and can be safely included in a balanced diet. The primary concern should be on educating the client about the benefits of including such nutrient-dense foods in their diet.

Choice D reason:

Range-fed beef can be a healthy option as it is often lower in fat and higher in omega-3 fatty acids compared to conventionally raised beef. While it is important to ensure proper cooking to avoid foodborne illnesses, it does not pose the same level of risk as unpasteurized milk.

A. The consumption of protein products should come from lean meats, nuts, and dried beans. B. The consumption of dairy-based products should be eliminated from the diet. C. The consumption of bread products should be gluten-free. D. The consumption of fruit and/or vegetables should total between 4 to 6 servings.

Correct Answer is A

Explanation

A. The consumption of protein products should come from lean meats, nuts, and dried beans aligns with the DASH diet guidelines. The DASH diet emphasizes the intake of lean protein sources, which are low in saturated fat and beneficial for managing hypertension. Including nuts and dried beans also provides essential nutrients and fiber, supporting overall cardiovascular health.

B. The consumption of dairy-based products should be eliminated from the diet is incorrect. The DASH diet includes low-fat or fat-free dairy products as part of a balanced eating plan. These dairy products provide calcium and other essential nutrients that support heart health.

C. The consumption of bread products should be gluten-free is not a requirement of the DASH diet. The DASH diet focuses on whole grains, which can include gluten-containing grains like whole wheat. The emphasis is on the nutritional quality of the grains rather than their gluten content.

D. The consumption of fruit and/or vegetables should total between 4 to 6 servings is partially correct but not entirely accurate. The DASH diet recommends 4 to 5 servings each of fruits and vegetables per day, totaling 8 to 10 servings combined. This higher intake of fruits and vegetables helps to provide essential nutrients and fiber, which are beneficial for managing hypertension.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Correct Answer is A

Explanation

The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?

Correct Answer is A

Explanation

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