ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client receiving parenteral nutrition by central venous access reports feeling unwell. The nurse assesses the client and suspects that the central line has become infected. Which of the following findings indicate that the client has developed a systemic infection? Select all that apply.
Correct Answer: B,E,F
Rationale: Purulent drainage at intravenous insertion site is a finding of a local infection that can spread systemically, indicating bacterial invasion and inflammation (
Choice
B). Leukocytosis indicates increased white blood cell production in response to a systemic infection, detectable by blood test (
Choice E). Fever is a systemic infection sign due to immune system activation and pyrogen release, measurable by thermometer (
Choice F). Edema may indicate fluid overload or impaired venous return, not specifically systemic infection (
Choice
A). Redness at the insertion site suggests local inflammation, not necessarily systemic spread (
Choice
C). Nausea is a non-specific symptom possibly related to parenteral nutrition side effects or other conditions, not a direct indicator of systemic infection (
Choice
D).
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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