For a client with a PICC line, the nurse observes that the apical pulse is irregular. The nurse should first:
A. Discontinue the PICC line
B. Check the external catheter length
C. Obtain a culture from around the insertion site
D. Prepare to increase the volume of fluids to be given
B
B. May indicate malposition of catheter in the right atrium, causing atrial irritation. Catheter may need to be withdrawn several centimeters.
A. PICC line is discontinued for occlusion, infection, and port separation.
C. Blood cultures are obtained before administering antibiotic therapy when complicated by infection.
D. Avoid possibility of fluid overload. Do not give extra fluid without provider orders.
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Which nursing activities do not meet the standard of care? Select all that apply
a. Failure to notify a physician about a child's worsening condition b. Calling the supervisor about staffing concerns c. Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP) d. Asking the Unlicensed Assistive Personnel (UAP) to take vital signs e. Documenting that a physician was unavailable and the nursing supervisor was notified
The objective information that has helped mental health professionals understand that schizophrenia has a biological component has been obtained primarily from which of the following?
a. Genetic studies b. Patient histories c. Comparisons of blood chemistries d. Magnetic resonance imaging (MRI) studies
An 11-year-old is brought to the emergency room after
experiencing a nosebleed for which the caregiver cannot determine a cause. In addition, the child is disoriented, appears confused, is having trouble walking, and is experiencing nausea and coughing. What does these symptoms and the age of the child indicate to the nurse regarding the child's behavior? A) Fallen on the playground at school B) Experimented with an inhalant C) Eaten a food to which the child is allergic D) Been exposed to a respiratory disease
A bariatric patient often needs a(n) ________ to relieve discomfort while in the hospital bed
A) oscillating fan B) trapeze C) mechanical lift D) scale