A nurse is reinforcing teaching with a client who has ovarian cancer and will receive chemotherapy through a peripherally inserted central catheter (PICC) line.
Which of the following statements by the client indicates an understanding of the teaching?
I will monitor my temperature for fever while I have this device.
I should pull the dressing away from the insertion site when I change it.
I will wear an arm immobilizer to prevent dislodgement of this device.
It's okay to get the device wet when I shower.
The Correct Answer is A
Choice A rationale
Monitoring for fever is essential as fever may indicate infection, a complication of PICC line use. Early detection of infection is crucial since central lines increase susceptibility to bloodstream infections.
Choice B rationale
Pulling the dressing away from the insertion site disrupts the sterile barrier, increasing the risk of infection. Proper dressing techniques are necessary to maintain sterility and minimize complications.
Choice C rationale
Wearing an arm immobilizer is not standard PICC care and may restrict mobility unnecessarily. Instead, education on proper handling and precautions is emphasized to prevent device dislodgement.
Choice D rationale
Keeping the device dry is imperative, as water exposure compromises the integrity of the dressing and insertion site sterility. Clients should cover the PICC line area during showers to prevent wetting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Current medication prescriptions provide critical information about the client's ongoing treatments, including dosages, routes, and frequencies. This ensures continuity of care and prevents medication errors during the transition to the intensive care unit, promoting patient safety.
Choice B rationale
The primary health problem outlines the client's current medical condition necessitating transfer. It informs the receiving team about the clinical priorities and guides immediate care and management decisions to address the client’s needs effectively.
Choice C rationale
Scheduled times for dressing changes offer minimal relevance in an emergency transfer situation. While it provides routine care information, it does not impact immediate critical care and thus is less vital than other elements of the report.
Choice D rationale
The number of family members visiting holds no significance for transfer documentation. This detail does not affect medical care or provide essential information to the receiving unit and therefore is excluded from critical documentation.
Choice E rationale
Admission vital signs from a week ago are outdated and do not reflect the client’s current physiological status. Providing recent or trending vital signs is crucial to conveying the severity of the client's condition and enabling prompt intervention.
Correct Answer is A
Explanation
Choice A rationale
Testicular cancer screening is recommended for younger males, typically from adolescence to their mid-thirties, as this cancer is most prevalent in this demographic. Routine self-examinations can aid early detection of painless lumps or changes in testicle size, leading to prompt diagnosis and treatment.
Choice B rationale
Colorectal cancer screening is generally recommended starting at age 45 or earlier if there are risk factors such as a family history. This examination is not a priority for the average 18-year-old without specific indications, as colorectal cancer incidence is low in this age group.
Choice C rationale
Prostate cancer screening is not indicated for an 18-year-old, as it typically affects older males, with recommendations for screening starting around age 50. Younger individuals without genetic predispositions or symptoms do not require this screening, as the risk is negligible at this stage of life.
Choice D rationale
Skin cancer screening is important but not specific to the age of 18, as it applies to individuals of all ages, particularly those with risk factors like excessive sun exposure or familial melanoma history. While relevant, this is not the most age-appropriate cancer screening for the client compared to testicular cancer.
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