A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

Use a 3 ml syringe when flushing the PICC line.

Flush the PICC line with 0.9% sodium chloride after medication administration.

Expect the PICC line to be inserted into a lower extremity vein.

Monitor for a pneumothorax following insertion of the PICC line.

Answer and Explanation

The Correct Answer is B

A) Use a 3 ml syringe when flushing the PICC line:
Using a 3 ml syringe for flushing is not recommended. Smaller syringes generate higher pressure, which can damage the catheter. Instead, a 10 ml syringe is typically used to flush PICC lines to ensure safe pressure levels.
B) Flush the PICC line with 0.9% sodium chloride after medication administration:
Flushing the PICC line with 0.9% sodium chloride after medication administration is standard practice. It helps clear the line of any residual medication, preventing drug interactions and ensuring the line remains patent.
C) Expect the PICC line to be inserted into a lower extremity vein:
PICC lines are typically inserted into veins in the upper extremities, such as the basilic, brachial, or cephalic veins, rather than lower extremity veins. This positioning reduces the risk of complications and allows for better access and care.
D) Monitor for a pneumothorax following insertion of the PICC line:
Monitoring for a pneumothorax is not typically necessary following PICC line insertion. Pneumothorax is a potential complication of central venous catheter placements involving the subclavian or jugular veins, not the peripheral veins used for PICC lines. Instead, complications like infection, thrombosis, and catheter occlusion are more relevant concerns.

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Correct Answer is D

Explanation

A) "If you don't take this medication, you will feel worse":
While this statement might be intended to convey the importance of the medication, it can come across as a threat or ultimatum. It does not engage with the client's concerns or offer a rationale for the medication's necessity.

B) "Most clients feel better after taking the antibiotic":
This response focuses on the general outcome rather than addressing the specific client's concerns or explaining why the medication is necessary for their condition. It may not provide the client with enough information to understand the importance of the medication.

C) "I will tell your provider that you do not want to take this medication":
This response shifts the responsibility to the provider without addressing the client's concerns directly. It is important to engage with the client and provide education about the medication before escalating the issue to the provider.

D) "Your provider wouldn't prescribe this medication if it weren't necessary":
This response acknowledges the client's concerns while providing a rationale for why the medication is important. It reinforces that the medication is prescribed based on medical necessity, aligning with the provider's judgment and emphasizing the importance of following the treatment plan.

A. "I have difficulty swallowing food." B. "I have a hard time with brushing my hair." C. "I've been having problems with bladder control" D. "I would rather be in a wheelchair than use a walker to get around."

Correct Answer is B

Explanation

A) "I have difficulty swallowing food":
Difficulty swallowing food is a common issue in myasthenia gravis and often requires evaluation by a speech therapist rather than an occupational therapist. This condition can lead to aspiration and nutritional challenges, so a speech therapist is typically involved to address swallowing difficulties.

B) "I have a hard time with brushing my hair":
Struggles with tasks such as brushing hair indicate a need for occupational therapy. Occupational therapists specialize in helping clients with fine motor skills and daily living activities, such as grooming and self-care. This referral would address the client's difficulty in performing these essential tasks.

C) "I've been having problems with bladder control":
Bladder control issues are more related to urological or neurological management rather than occupational therapy. This problem may require evaluation by a urologist or a neurologist who specializes in managing bladder function.

D) "I would rather be in a wheelchair than use a walker to get around":
A preference for mobility aids, such as choosing between a wheelchair and a walker, is a matter of personal choice and mobility management. While an occupational therapist might assist in adapting to and using mobility aids, the statement does not clearly indicate a need for occupational therapy focused on improving specific daily living skills.

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A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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