Author Question: The nurse is managing the care of a patient receiving PN. Which assessment finding indicates ... (Read 35 times)

amal · **on:** Jul 24, 2018

The nurse is managing the care of a patient receiving PN. Which assessment finding indicates potential septicemia?

a. Shakiness and dizziness
b. Chest pain/hypotension
c. Increased thirst
d. Increased temperature

Question 2

Which of the following alternatives to physical restraints should the nurse use to promote patient safety? (Select all that apply.)

a. Environmental modifications
b. Less frequent patient observation
c. Involvement of family during visitation
d. Frequent reorientation of the patient

briseldagonzales · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
Know the patient's recent temperature range. Patients with peripheral or central intravenous (IV) lines are susceptible to septicemia; elevated temperature can be an early indicator of a bacterial process. Hypoglycemia causes the patient to be shaky, dizzy, nervous, and anxious; the patient senses hunger and has a blood sugar level less than 80 mg/100 mL. Air embolism results in sudden respiratory distress, shortness of breath, coughing, chest pain, and decreased blood pressure. Hyperglycemia leads to excessive thirst.

Answer to Question 2

A, C, D
Many alternatives to the use of restraints are available, and you should try all of them before using restraints. Modification of the environment is an effective alternative to restraints. More frequent observation of patients, involvement of family during visitation, and frequent reorientation are helpful measures.