A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Elevated temperature

Peripheral edema

Hypertension

Erythema at the insertion site

Answer and Explanation

The Correct Answer is A

Fat overload syndrome is a rare but serious complication that can occur in clients receiving lipid infusion. It is typically characterized by fever.

Although spontaneous hemorrhage can occur, peripheral edema is not a typical feature of fat overload syndrome.

Hypertension is not a typical feature of fat overload syndrome. However, hypotension may occur due to fluid shift and vasodilation.

Erythema can occur at the site of infusion during lipid infusion. However, it is not a typical feature of fat overload syndrome.

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Correct Answer is C

Explanation

Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.

Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.

Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.

Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.

A. Take an antiemetic 1 hr following administration. B. Take the medication with an NSAID. C. Drink 2 to 3 L Of water per day. D. Rinse mouth 2 times per day with an alcohol-based mouthwash.

Correct Answer is C

Explanation

Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash

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A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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