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 B

Explanation

A. Placing the client into a shower and removing dead tissue is not an escharotomy; it refers to wound care practices.
B. An escharotomy involves making large incisions through the eschar (the thick, dead tissue) to relieve pressure and improve circulation, especially if the burn has caused circumferential constriction.
C. Non-surgical removal of dead tissue is typically done via debridement, not escharotomy.
D. Removing healthy skin for grafting is known as skin grafting, not escharotomy.

A. Hyperactive bowel sounds B. Nausea and vomiting C. Increased urinary output D. Bradycardia

Correct Answer is B

Explanation

A. Hyperactive bowel sounds are not specific to peritonitis and may occur in other conditions affecting the gastrointestinal tract.
B. Nausea and vomiting are common symptoms of peritonitis, which is an infection of the peritoneal cavity, and should be closely monitored in clients undergoing peritoneal dialysis.
C. Increased urinary output is not related to peritonitis; clients undergoing peritoneal dialysis may have decreased urinary output.
D. Bradycardia is not a typical manifestation of peritonitis; the focus should be on signs of infection and gastrointestinal symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Correct Answer is B

Explanation

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