A 15-year-old adolescent has been recently diagnosed with cancer. The patient will be receiving IV chemotherapy for several weeks. Which vascular access device should be used for short-term administration of his IV fluid?
a. Implanted port
b. Peripherally placed IV catheter
c. Central line
d. Peripherally inserted central catheter
B
Peripheral catheters are for short-term use (e.g., to restore fluid volume). Devices for long-term use include central lines, peripherally inserted central catheters (PICCs), and implanted ports. These devices are more effective than peripheral catheters for administering PN and medications and solutions that are irritating to veins.
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A patient with a brain injury is receiving IV mannitol to reduce cerebral edema and intracranial pressure (ICP) during the early resuscitation phase. The patient is rapidly becoming hypovolemic
What intervention should the nurse make to help correct the hypovolemia? A) Administer crystalloid solution. B) Administer morphine. C) Discontinue mannitol. D) Administer propofol.
A child diagnosed with congenital hypothyroidism is being dismissed from the NICU. What information should the nurse plan to teach the parents?
A. Avoid foods such as fish, milk, or meat-based broth soups. B. The correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. C. The correct dose of levothyroxine (Synthroid) is 10-15 ?g/kg/day. D. Regular eye examinations should be undertaken every 6 months.
The patient is found to have hyperthyroidism. The health care provider wants to start the patient on medication before performing surgery and would most likely prescribe:
1. propylthiouracil. 2. thyroglobulin. 3. liothyronine. 4. levothyroxine.
Which patient statement indicates that the nurse's teaching following a gastroduodenostomy has been effective?
a. "Vitamin supplements may prevent anemia." b. "Persistent heartburn is common after surgery." c. "I will try to drink more liquids with my meals." d. "I will need to choose high carbohydrate foods."