The home care nurse is about to administer intravenous medication to the client and reads in the chart that the PICC line in the client's left arm has been in place for 4 weeks. The IV is patent, with a good blood return
The site is clean and free from manifestations of infiltration, irritation, and infection. What is the nurse's best action? A. Notify the physician.
B. Document the findings; administer the prescribed medication.
C. Discontinue the PICC line; save the tip aseptically for culture; restart the IV at a new site.
D. Switch the medication to the oral route; arrange for the client to have an x-ray to ascertain the PICC location.
B
A PICC line that is functioning well without inflammation or infection may remain in place for up to 12 months.
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The nurse explains that the opening between the vocal cords is the __________
ANS:
Which of the nursing interventions should a nurse give a client with a sexual dysfunction related to temporary impotence when the pudendal nerve is spared?
A) Explain to the client and his sexual partner the importance of taking medical assistance. B) Explain to the client and his sexual partner that it may take almost 3 to 12 months for the sexual potency to return C) Explain to the client and his sexual partner that they should practice sexual intercourse as frequently as possible D) Explain to the client and his sexual partner that any sexual activity, if within 12 months of surgery, could result into permanent impotency
The nurse is caring for a client with rheumatoid arthritis who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range-of-motion exercises?
A) First thing in the morning when the client wakes B) After cool compresses have been applied to the hands C) After the client has had a warm paraffin hand bath D) After the client has a diagnostic test
The critical care nurse is assessing the patient to see if he is ready to be weaned from the ventilator. What are important predictors of successful weaning?
A) Stable vital signs and arterial blood gases B) Pulse oximetry above 95% and stable vital signs C) Arterial blood gases and nutritional status D) Tidal volume less than 7 mL/kg and pulse oximetry above 95%