A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?

Arteriovenous fistula

Implanted infusion port

Short peripheral catheter

Peripherally inserted central catheter

Answer and Explanation

The Correct Answer is D

A. An arteriovenous fistula is used for dialysis, not for long-term antibiotic therapy.
B. An implanted infusion port is suitable for long-term therapy but is typically used for medications that require infusions over weeks or months rather than prolonged IV therapy.
C. A short peripheral catheter is not appropriate for extended therapy due to the risk of thrombophlebitis and infiltration.
D. A peripherally inserted central catheter (PICC) is appropriate for long-term intravenous antibiotic therapy as it provides reliable access and reduces the risk of complications associated with extended peripheral catheter use.

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Correct Answer is D

Explanation

A. Protein restriction is not universally indicated; specific dietary changes depend on the type of stones.
B. Ambulation is often encouraged to help pass stones and alleviate discomfort.
C. Applying cold compresses can be helpful for pain relief, but fluid intake is more critical for managing urolithiasis.
D. Increasing fluid intake to at least 3 L per day helps flush out stones and prevent new ones from forming.

A. Decrease in the urinary output from 50 mL to 30 mL per hour. B. Increase in the heart rate from 88 to 110/min. C. Decrease in the respiratory rate from 20 to 16/min. D. Increase in the temperature from 37.5° C (99.5° F) to 38.6° C (101.5° F).

Correct Answer is B

Explanation

A. A decrease in urinary output can be a sign of decreased blood volume but is less immediate than changes in heart rate.
B. An increase in the heart rate is a common compensatory response to hypovolemia as the body attempts to maintain adequate perfusion to vital organs.
C. A decrease in the respiratory rate is not typically associated with hypovolemic shock; rather, respiratory rate may increase due to compensatory mechanisms.
D. An increase in temperature is not a specific indicator of hypovolemic shock; it could be related to infection or inflammation rather than immediate hypovolemia.

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A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is B

Explanation

The nurse caring for a client with acute leukemia who is immunosuppressed is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on neutropenic isolation, the registered nurse prohibits them from bringing a:

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