a nurse is preparing a client for placement of a catheter for total parenteral nutrition which of the following access sites should the nurse plan to
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1. A client is being prepared for placement of a catheter for total parenteral nutrition. Which of the following access sites should be planned for catheter insertion?

Correct answer: B

Rationale: The correct answer is the Right subclavian vein. When preparing a client for placement of a catheter for total parenteral nutrition, the preferred access site for catheter insertion is the subclavian vein due to its large size, central location, and lower risk of infection compared to peripheral veins. The other options provided (Left antecubital vein, Right femoral artery, and Left arm radial artery) are not suitable access sites for central venous catheter insertion for total parenteral nutrition.

2. A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?

Correct answer: B

Rationale: Gastroesophageal reflux disease (GERD) is commonly associated with obesity due to increased abdominal pressure and other factors. Peptic ulcer disease (Choice A) is not commonly associated with obesity. Celiac disease (Choice C) is an autoimmune disorder triggered by gluten consumption and is not directly linked to obesity. Crohn’s disease (Choice D) is a type of inflammatory bowel disease and is not specifically associated with obesity.

3. A healthcare professional is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the professional recommend to the client?

Correct answer: C

Rationale: Broiled salmon is a heart-healthy food due to its high omega-3 fatty acid content, which helps reduce inflammation and improve cardiovascular health. Choices A, B, and D are not recommended for a heart-healthy diet. Baked ham and processed cheese are high in saturated fats and sodium, which can be detrimental to cardiovascular health. Canned potato soup may contain high levels of sodium and preservatives, making it less suitable for a heart-healthy diet.

4. The following mechanisms can be utilized as part of the quality assurance program of your hospital EXCEPT:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

5. Major complications of diabetes include damage to the:

Correct answer: B

Rationale: The correct answer is B: eyes, nerves, and kidneys. In diabetes, major complications result from damage to small blood vessels that supply these organs. Damage to the eyes can lead to retinopathy, to the nerves causing neuropathy, and to the kidneys causing nephropathy. Choices A, C, and D are incorrect as they do not represent the typical major complications associated with diabetes.

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