The nurse identifies which patient condition may be treated with a tissue plasminogen activator?

Idiopathic pulmonary fibrosis

Sarcoidosis

Atelectasis

Pulmonary embolus (PE)

Answer and Explanation

The Correct Answer is D

Choice A reason: Idiopathic pulmonary fibrosis is a chronic, progressive lung disease characterized by scarring of the lung tissue. Tissue plasminogen activators (tPAs) are not used for this condition, as they are primarily designed to dissolve blood clots, not to address fibrotic changes in the lungs.

Choice B reason: Sarcoidosis is an inflammatory disease that affects multiple organs, particularly the lungs and lymph glands. It involves the growth of tiny collections of inflammatory cells called granulomas. Tissue plasminogen activators are not used in the treatment of sarcoidosis since the condition is not related to blood clots but rather to immune system dysregulation.

Choice C reason: Atelectasis is the complete or partial collapse of a lung or lobe of a lung due to alveoli deflation. The treatment typically focuses on re-expanding the lung tissue through techniques such as deep breathing exercises, bronchoscopy, or mechanical ventilation. Tissue plasminogen activators are not relevant for this condition, as they are used to dissolve blood clots, not to treat lung collapse.

Choice D reason: Pulmonary embolus (PE) is a blockage in one of the pulmonary arteries in the lungs, usually caused by blood clots that travel to the lungs from the legs or other parts of the body (deep vein thrombosis). Tissue plasminogen activators are used to treat PE because they can effectively dissolve the blood clots obstructing the pulmonary arteries, thereby restoring normal blood flow and preventing further complications.

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Correct Answer is B

Explanation

Choice A reason: Nursing supervisors generally oversee nursing staff and ensure that patient care standards are being met, but they are not primarily responsible for developing individualized plans of care.

Choice B reason: Registered nurses (RNs) are trained and licensed to develop individualized plans of care that include nursing diagnoses, interventions, and outcomes. They work closely with patients to understand their needs and create a plan that supports their health goals, including self-management care.

Choice C reason: Health care providers, such as medical doctors (MDs) or nurse practitioners (NPs), are responsible for diagnosing and treating medical conditions, but the development of detailed nursing care plans is typically outside their primary scope of practice.

Choice D reason: Licensed practical/vocational nurses (LPN/VN) provide basic nursing care and assist with patient care activities, but they do not generally develop comprehensive nursing care plans, which require the higher level of training and education that RNs receive.

A. The required blood glucose monitoring is based on samples obtained from a central line. B. There is a decreased risk for infection when 25% dextrose is infused through a central line. C. The hypertonic solution will be more rapidly diluted when given through a central line. D. The prescribed infusion can be given more rapidly when the patient has a central line.

Correct Answer is C

Explanation

Choice A reason: While blood glucose monitoring is essential for patients receiving TPN, it is not specifically necessary to obtain samples from a central line. Blood glucose levels can be monitored through peripheral blood samples.

Choice B reason: There is actually an increased risk of infection with central lines compared to peripheral lines due to the invasive nature of central line placement and its location. Proper aseptic technique is critical to minimize this risk.

Choice C reason: The hypertonic solution will be more rapidly diluted when given through a central line. This is a critical point because the central veins have a higher blood flow and larger volume, which helps to quickly dilute the hypertonic TPN solution. This reduces the risk of phlebitis and damage to the smaller peripheral veins, making central lines more suitable for infusing highly concentrated solutions like 25% dextrose.

Choice D reason: While a central line can allow for the rapid administration of infusions, this is not the primary reason for its use with TPN. The key factor is the dilution of the hypertonic solution, as central lines handle high osmolarity solutions better than peripheral veins.

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The nurse identifies which patient condition may be treated with a tissue plasminogen activator?

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Naxlex Comprehensive Predictor Exams

In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes, including the patient's self-management care plan?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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