A patient in an outpatient oncology clinic is going to have a PICC line placed, and wants to know what that means. What is the best response by the nurse?

a. "A PICC line is a catheter that is inserted into your jugular vein and ends in the central circulation."
b. "A PICC line is just a regular IV, but an extra-small catheter is used to prevent vein irritation."
c. "A PICC line is a percutaneous intravenous core catheter."
d. "A PICC line is an intravenous device that is inserted into your arm and ends in the circulation near your heart."


ANS: D
A PICC line is a long catheter that is inserted in the arm and terminates in the central circulation. This device is used when therapy will last more than 2 weeks or the medication is too caustic for peripheral administration. A describes a percutaneous central catheter. B and C do not describe PICC lines.

Nursing

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The nurse is planning to admit a 12-year-old with Graves disease (GD). What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)

a. Insomnia b. Irritability c. Tonic rigidity d. Hyperactivity e. Muscle cramps

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A child, age 4 years, tells the nurse that she "needs a Band-Aid" where she had an injection. What nursing action should the nurse implement?

a. Apply a Band-Aid. b. Ask her why she wants a Band-Aid. c. Explain why a Band-Aid is not needed. d. Show her that the bleeding has already stopped.

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Some resources to assist with the alleviation of test anxiety have been identified in the text. Which of the following is not correct?

a. Tame Test Anxiety CD-ROM (2003) b. Taking the Anxiety Out of Taking Tests (2000) c. Test Anxiety Prevention (2004) d. NCLEX-RN Clinical Content Review Book (2010)

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One compensatory mechanism that helps maintain oxygen availability to the fetus during maternal exercise is

A. A decrease in maternal hematocrit B. Transient increase in uterine blood flow C. An increase in uterine oxygen uptake

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