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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Dyskinesias, which are involuntary, erratic, writhing movements of the face, arms, legs, or trunk, are common side effects of long-term use of levodopa and carbidopa, especially after many years of therapy.

Choice B reason: Dyspnea, or difficulty breathing, is not commonly associated as a side effect of levodopa and carbidopa.

Choice C reason: Hypertension is not typically a side effect of levodopa and carbidopa; these medications can sometimes cause low blood pressure, particularly upon standing.

Choice D reason: Cold intolerance is not a recognized side effect of levodopa and carbidopa.

A. Review current WBC level. B. Check blood pressure. C. Assess for bleeding. D. Provide a high-protein snack.

Correct Answer is B

Explanation

Choice A reason: While it's important to monitor WBC levels for overall health, it is not specifically related to the administration of levodopa/carbidopa for Parkinson's disease.

Choice B reason: Blood pressure should be checked before administering levodopa/carbidopa as these medications can affect blood pressure, potentially causing hypotension.

Choice C reason: Assessing for bleeding is a general nursing action but not specifically related to levodopa/carbidopa administration.

Choice D reason: Providing a high-protein snack can actually interfere with the absorption of levodopa and should be avoided at the time of medication administration.

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Which client does the nurse identify as having the greatest risk for the development of sepsis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Correct Answer is A

Explanation

Prior to administering levodopa/carbidopa to a client with Parkinson's disease, which action would the nurse take?

Correct Answer is B

Explanation

Assessment of a client with cirrhosis reveals a distended abdomen, weight gain, and dyspnea. Based on this information, what interventions would the nurse include in this client's plan of care?

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Deep brain stimulation has been ordered for a client with Parkinson's disease. The client asks the nurse how this treatment will help. What is the nurse's best response?

The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

Which client does the nurse identify as having the greatest risk for the development of sepsis?

Which data does the nurse identify as a nonmotor finding for the client with Parkinson's disease?

The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?