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 C
Explanation
Choice A reason: The ABG values provided are within normal limits and do not indicate a complication of sepsis.
Choice B reason: A temperature of 100.8°F suggests an infection but is not specific enough to indicate a complication of sepsis.
Choice C reason: A platelet count of 99,000/mm3 is below the normal range and can indicate a complication of sepsis known as disseminated intravascular coagulation (DIC), which is a serious condition that can lead to severe bleeding or blood clots.
Choice D reason: A urine culture positive for gram-negative bacteria indicates an infection, which could be the source of sepsis, but it does not specifically indicate a complication of sepsis.
Correct Answer is A
Explanation
Choice A reason: Deep brain stimulation is known to help reduce tremors in Parkinson's disease, which is one of the main symptoms that can be debilitating.
Choice B reason: While deep brain stimulation may help with some non-motor symptoms, it is not primarily used to treat urinary retention.
Choice C reason: Deep brain stimulation does not slow the progression of Parkinson's disease; it is used to manage symptoms.
Choice D reason: Deep brain stimulation is not a treatment for preventing depression, although it may improve overall quality of life.
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