A nursing student asks why midline catheters need strict sterile dressing changes when short peripheral IVs do not. Which answer by the experienced nurse is most accurate?
a. "Because of the length of time they stay inserted."
b. "They really don't need strict sterile technique."
c. "Because the tip is in the right atrium of the heart."
d. "The tonicity of the fluids used promotes infection."
A
Midline catheters can stay in place for as long as 4 weeks, so dressing changes must be done with strict sterile technique to reduce the incidence of infection. The tip does not lie in the right atrium; it resides no farther than the axillary vein. These catheters are used for a wide range of fluids and medications, so tonicity would not be a factor in infection risk.
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A nursing student has been informed that much of the content of the nursing program will be presented in the form of lectures. This means that the student should
A) make sure to do the assigned readings prior to each class. B) determine whether the lecture will be beneficial before deciding to attend. C) record each lecture electronically so that it can be referred to later. D) schedule a one-on-one discussion with the instructor after each class.
Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?
1. Medical history is of little significance and can be eliminated from the nursing assessment. 2. Assessment provides a holistic view of the client, including biopsychosocial aspects. 3. Comprehensive assessments can be performed only by advanced practice nurses. 4. Psychosocial evaluations are gained by subjective reports rather than objective observations.
When a patient makes eight errors within 1.5 minutes while performing serial 7s, the nurse concludes that the patient has which of the following?
a. normal calculation ability c. dyscalculia b. confabulation d. constructional apraxia
A patient, experiencing vasodilation, is diagnosed with distributive shock. The nurse will assess the patient for which etiologies? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Sepsis 2. Spinal cord injury 3. Anaphylaxis 4. Hemorrhage 5. Pulmonary embolism