A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central venous catheter (CVC). The provider writes a prescription to initiate an IV infusion of Ringer's lactate at 150 mL per hr. Prior to starting the infusion, which of the following actions should the nurse take?

Apply oxygen at 3 L/min per nasal cannula.

Review the chest x-ray report.

Flush the catheter with sterile water.

Obtain a peripheral blood glucose level.

Answer and Explanation

The Correct Answer is B

A. Apply oxygen at 3 L/min per nasal cannula: While oxygenation is important, there is no

indication in the scenario that the client requires oxygen supplementation at this time. Checking oxygen saturation would be more relevant if there were respiratory concerns.

B. Review the chest x-ray report: This is the most appropriate action before initiating the IV

infusion to ensure proper placement of the central venous catheter and absence of complications such as pneumothorax or malposition.

C. Flush the catheter with sterile water: Flushing the catheter with sterile water is not necessary before starting the infusion, especially without confirming proper catheter placement through chest x-ray.

D. Obtain a peripheral blood glucose level: While monitoring blood glucose levels may be

important in certain clinical situations, it is not directly relevant to initiating an IV infusion of Ringer's lactate via a central venous catheter.

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Free Nursing Study Resources

Correct Answer is ["92"]

Explanation

Pulse pressure is the difference between systolic and diastolic blood pressure.
The client's pulse pressure is 132 - 40 = 92 mm Hg.

A. Hepatitis C B. Crohn's disease C. Peptic ulcer disease D. Bronchitis

Correct Answer is A

Explanation

A. Hepatitis C is a contraindication to atorvastatin due to the potential for hepatotoxicity and worsening liver function in individuals with preexisting liver disease.

B. Crohn's disease, peptic ulcer disease, and bronchitis are not contraindications to atorvastatin.

However, caution may be needed in individuals with gastrointestinal conditions due to potential gastrointestinal side effects of the medication.

C. Peptic ulcer disease is not a contraindication to atorvastatin. However, caution may be warranted in individuals with a history of gastrointestinal bleeding or ulcers due to potential gastrointestinal side effects of the medication.

D. Bronchitis is not a contraindication to atorvastatin. Atorvastatin primarily affects cholesterol levels and does not directly interact with bronchitis, a respiratory condition.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["92"]

Explanation

A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client conditions is a contraindication to this medication?

Correct Answer is A

Explanation

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