A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

Choice A Reason:

Changing the catheter dressing daily - While it's important to maintain the dressing and keep it clean and dry, changing the dressing daily might not be necessary. The dressing should be changed according to facility policy and based on assessment findings.

Choice B Reason:

Cleaning the insertion site using 20 mL of hydrogen peroxide - Hydrogen peroxide is not recommended for cleaning PICC line insertion sites, as it can cause tissue irritation. The insertion site should be cleaned with an appropriate antiseptic solution per facility guidelines.

Choice C Reason:

Use a 10-mL syringe to flush the line. When completing discharge teaching for a client with a peripherally inserted central catheter (PICC) line, the nurse should include instructions regarding the proper care of the line. Using a 10-mL syringe to flush the line is the appropriate practice to prevent excessive pressure within the catheter and minimize the risk of catheter damage or rupture.

Choice D Reason:

Not elevating the arm above the level of the heart - Elevation of the arm above the heart level is generally not contraindicated for a PICC line. However, it's important to avoid activities that could lead to kinking or pulling on the line. The nurse should provide specific instructions regarding arm movement and care to the client.

Choice A reason:

Complete AV block with rates slower than 40/min Complete atrioventricular (AV) block, especially with rates slower than 40 beats per minute (bradycardia), is an indication for the placement of a permanent pacemaker. Complete AV block means there is a complete block in the electrical conduction between the atria and ventricles, resulting in a significant slowing or absence of impulses reaching the ventricles. This can lead to dangerously low heart rates and inadequate cardiac output.

Choice B reason:

Vasovagal bradycardia without syncope - Vasovagal bradycardia is often a temporary response to certain triggers (like pain or emotional stress) and does not typically require a permanent pacemaker.

Choice C reason:

Sinus tachycardia with rates faster than 80/min - Sinus tachycardia is a normal response to various factors, such as exercise, fever, or anxiety. It's not an indication for a permanent pacemaker.

Choice D reason:

Asymptomatic second-degree AV block - Asymptomatic second-degree AV block can be monitored and managed without a pacemaker, especially if the patient is not experiencing any symptoms or hemodynamic compromise. However, the type and severity of the second-degree AV block should be assessed by a healthcare provider to determine the appropriate course of action