The nurse is caring for a client with a central line. What criteria should be used to determine if the access cap needs to be changed?
1. Fluid being administered
2. Cap was changed 3 days ago
3. The line is used for blood samples
4. Length of time the catheter will be in place
3
Rationale 1: The type of fluid does not impact the frequency of changing the cap.
Rationale 2: Caps should be changed every 7 days.
Rationale 3: The cap should be changed after blood draws.
Rationale 4: The length of time the catheter will be in place does not impact the frequency of changing the cap.
Global Rationale: The cap should be changed after blood draws. The type of fluid does not impact the frequency of changing the cap. Caps should be changed every 7 days. The length of time the catheter will be in place does not impact the frequency of changing the cap.
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Which of the following is not a type of notes maintained by a participant observer?
A) Descriptive notes B) Participatory notes C) Reflective notes D) Methodologic notes
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A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue being "stuck up my nose" and with foul-smelling nasal drainage from the right nare. Which action should the nurse take first?
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