A nurse is planning care for a client who has a central venous access device for intermittent infusions.
Which of the following actions should the nurse include in the plan of care?
Use an aseptic technique when changing the dressing.
Cleanse the site with povidone-iodine.
Flush the catheter using a 10-mL syringe.
Change the dressing every 24 hours.
The Correct Answer is A
The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should ensure that the client is discharged with antithrombotic pharmacologic therapy.
Antithrombotic medications help prevent blood clots from forming and can reduce the risk of another ischemic stroke.
Choice B is wrong because diuretics are used to treat fluid retention and high blood pressure and are not typically used for stroke prevention.
Choice C is wrong because anticonvulsants are used to prevent seizures and are not typically used for stroke prevention.
Choice D is wrong because opioid analgesics are used to treat pain and are not typically used for stroke prevention.
Correct Answer is C
Explanation
The statement “These crutches will make it possible to care for my child” indicates that the client is adapting to their role change by finding ways to continue fulfilling their responsibilities despite their injury.
Choice A is incorrect because it indicates that the client is concerned about not being able to fulfill their responsibilities.
Choice B is incorrect because it indicates that the client feels guilty about not being able to fulfill their responsibilities.
Choice D is incorrect because it indicates that the client is relying on someone else to fulfill their responsibilities.
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