An implanted subcutaneous port is occluded. What should the nurse do first?
1. Aspirate the clot
2. Change the needle
3. Instill a fibrinolytic agent
4. Forcefully flush the catheter
2
Rationale 1: Aspirating the clot can be attempted after the needle is changed.
Rationale 2: The first thing to do is change the needle.
Rationale 3: A healthcare provider has to prescribe a fibrinolytic agent.
Rationale 4: Catheters should never be forcefully flushed. The catheter could rupture or the clot could be pushed into the general circulation.
Global Rationale: The first thing to do is change the needle. Aspirating the clot can be attempted after the needle is changed. A healthcare provider has to prescribe a fibrinolytic agent. Catheters should never be forcefully flushed. The catheter could rupture or the clot could be pushed into the general circulation.
You might also like to view...
Which of the following conditions would contraindicate use of sumatriptan (Imitrex)?
a. Diabetes mellitus b. Cardiovascular disease c. History of depression d. Neurologic deficit
The nurse is learning how to identify the elements of competency. Which of the following statements by the nurse would reflect that learning has taken place?
A) "Only a judge can determine competency.". B) "Families can assume competency for their loved ones.". C) "All psychiatric clients lack competency.". D) "Involuntary clients lack competency.".
When muscles shorten, they are ____________________.
Fill in the blank(s) with the appropriate word(s).
You are transferring a patient to another unit and need to give handoff to the receiving RN. Where would you click to get the hand off report?
A. SBAR review B. Notes C. Problem list D. Quick view