A client is to receive 10 days of antibiotic therapy for urosepsis. The nurse plans to insert which type of intravenous catheter?
a. Hickman
b. Midline
c. Nontunneled central
d. Short peripheral
B
Midline catheters are used for therapies lasting from 1 to 4 weeks. Short peripheral catheters can be inserted by the nurse for use with antibiotic therapy, but they can stay in only for up to 96 hours. If the length of IV therapy is longer than 6 days, a midline catheter should be chosen. Nontunneled central catheters and Hickman catheters are inserted by a physician.
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While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of a closed chest-drainage system. What should the nurse conclude?
A) The system is functioning normally. B) The patient has a pneumothorax. C) The system has an air leak. D) The chest tube is obstructed.
Lithium carbonate is ordered for a new patient on your floor. You know that lithium carbonate is the drug of choice for:
A) Schizophrenia B) Major depression C) Bulimia D) Bipolar depression
What are the major methods of recording unstructured observational data?
A) Diaries and journals B) Diaries and logs C) Journals and field notes D) Logs and field notes
A patient diagnosed with major depression tells a nurse, "My cousin talked about sleep deprivation therapy as a treatment for depression. Can you tell me about it?" Which response by the nurse is most therapeutic?
a. "Your cousin is right; sleep deprivation is a successful, scientifically based emerging therapy. I can suggest several health care providers who work with the therapy.". b. "That therapy modality is not widely used at this time. It appears that the effects are not permanent, and there needs to be more scientific research done to prove its value.". c. "Sleep deprivation therapy appears useful only when a patient is taking a monoamine oxidase inhibitor (MAOI) type of antidepressant in conjunction with the therapy.". d. "Yes, the literature shows that this is a very promising therapy for a majority of patients with depression, and many clinical research studies are now under way to investigate this further.".