The patient is expected to require intravenous therapy for several years as treatment for a chronic disease process. Which of the following would be the best choice for venous access in this patient?
a. Peripherally inserted central catheter (PICC)
b. Nontunneled percutaneous central venous catheter
c. Subcutaneous implanted port
d. Peripheral IV
C
Implanted infusion ports are used for long-term and complex IV therapy. When not in use, no external catheter is present, and port manufacturers recommend that the port be heparinized every 4 weeks to maintain patency. No other care is required for an unused port. PICCs provide alternative IV access when the patient requires intermediate-length venous access (>7 days to several months). These catheters are used for shorter placements (e.g., 5 to 10 days). Use of peripheral IV therapy increases the risk for patients to develop infection, vein sclerosis, phlebitis, and infiltration.
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The physician has ordered the toddler to receive an oral medication. The toddler has fought medication administration in the past. Strategies the nurse will use to administer the medication would include: Standard Text: Select all that apply
1. Request the medication in liquid form and draw the medication in an oral syringe. 2. Put the medication in a favorite drink in the child's sippy cup. 3. Allow the mother to administer the medication to the child. 4. Notify the physician to change the route to intravenous. 5. Hold the child down and squirt the medication in the corner of his mouth.
What is the most common skill shared by effective nurse leaders in leadership theories or models?
1. Critical care experience 2. Political knowledge 3. Communication 4. Informal power
The nurse identifies which finding to be most consistent prior to the onset of acute respiratory distress?
A) Normal lung function B) Loss of lung function C) Chronic lung disease D) Slow onset of symptoms
Which type of review is considered the most rigorous?
a. Literature reviews b. Systematic reviews c. Integrative reviews d. Single study reviews