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

ATI RN

ATI Nutrition

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?

A. Left antecubital vein
B. Right subclavian vein
C. Right femoral artery
D. Left arm radial artery

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. Where is Vitamin K synthesized?

A. by bacteria in the GI tract
B. by the body by sunlight
C. deficiency is called beriberi
D. found in vegetable oils

Correct answer: A

Rationale: Vitamin K is synthesized by bacteria in the gastrointestinal tract. Choice B is incorrect as the synthesis of Vitamin D, not K, can be induced by sunlight exposure. Choice C is incorrect as beriberi is a condition caused by thiamine (Vitamin B1) deficiency, not Vitamin K. Choice D is incorrect as Vitamin E is commonly found in vegetable oils, not Vitamin K.

3. Each is a physiologic role of vitamin D, except one. Which is the exception?

A. Hematopoiesis
B. Cardiac and neuromuscular function
C. Immune responses
D. Serum calcium regulation

Correct answer: A

Rationale: The correct answer is A, Hematopoiesis. Vitamin D plays a crucial role in regulating serum calcium levels, which is essential for maintaining cardiac and neuromuscular function. Additionally, vitamin D is involved in modulating immune responses. However, hematopoiesis, the formation of red blood cells, is not a direct physiologic role of vitamin D. Therefore, hematopoiesis is the exception among the listed functions of vitamin D.

4. Which of the following is not true about Pure Experimental research?

A. There is a control group
B. There is an experimental group
C. Selection of subjects in the control group is randomized
D. There is a careful selection of subjects in the experimental group

Correct answer: D

Rationale: In Pure Experimental research, subjects in the experimental group are typically selected randomly to minimize bias and ensure that the results are attributable to the intervention being studied. Therefore, the statement 'There is a careful selection of subjects in the experimental group' is not true. This careful selection would introduce bias and compromise the validity of the experimental results. Choices A, B, and C are true for Pure Experimental research as it involves both a control group, an experimental group, and randomization of subject selection in the control group to ensure comparability.

5. How do foods or supplements containing significant amounts of plant sterols help lower LDL cholesterol levels?

A. reducing cholesterol synthesis
B. suppressing inflammation
C. reducing blood clotting
D. interfering with cholesterol and bile absorption

Correct answer: D

Rationale: Plant sterols interfere with cholesterol and bile absorption in the intestines. This interference helps lower LDL cholesterol levels by reducing the amount of cholesterol that enters the bloodstream. Choices A, B, and C are incorrect because plant sterols primarily work by interfering with cholesterol and bile absorption, not by reducing cholesterol synthesis, suppressing inflammation, or reducing blood clotting.