The nursing is caring for a patient who has had an arterial line inserted. To reduce the risk of complications, what is the priority nursing intervention?
a. Apply a pressure dressing to the insertion site.
b. Ensure all tubing connections are tightened.
c. Obtain a portable x-ray to confirm placement.
d. Restrain the affected extremity for 24 hours.
B
Loose connections in hemodynamic monitoring tubing can lead to hemorrhage, a major complication of arterial pressure monitoring. Application of a pressure dressing is required only upon arterial line removal. Blood return is adequate confirmation of arterial line placement; x-ray studies are not performed to confirm arterial line placement. Neutral positioning of the extremity and use of an arm board, without limb restraint, is the standard of care.
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What does the acronym P-F-A stand for?
a. Purpose-Format-Assessment c. Project-Financial-Analysis b. Purpose-Focus-Approach d. Program-Functional-Analysis
The nurse has returned from working as a maternal–child nurse volunteer for a nongovernmental organization. After completing a community presentation about this experience, the nurse knows that learning has occurred when a participant states:
1. "Malaria is a chronic disease, and rarely causes fetal loss." 2. "Escherichia coli bacteria can cause diarrhea but not stillbirth." 3. "Group B streptococci can cause infection and the death of the fetus." 4. "Viral infections don't cause fetal death in underdeveloped nations."
The nurse identifies errors and hazards in a care environment and implements basic safety to reduce the likelihood of an adverse event. Which of the following core competencies is this nurse implementing?
1. Provide patient-centered care 2. Apply quality improvement 3. Employ evidence-based practice 4. Utilize informatics
A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene?
a. Tells the family not to leave the bedside b. Offers the family a sandwich c. Gives the family a blanket d. Sits with the family