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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["119"]

Explanation

Step 1 is to convert the client's weight from pounds to kilograms: 175 lb ÷ 2.2 = 79.545 kg.

Step 2 is to calculate the dose: 1.5 mg × 79.545 kg = 119.3175 mg.

Step 3 is to round the answer to the nearest whole number: 119 mg. Final answer: 119 mg.

A. "You will need to fast for 2 hours before the procedure.”. B. "You will not receive a local anesthetic agent for this procedure.”. C. "I will hold pressure to the site after the procedure.”. D. "You will have the bone marrow taken from your femur.”.

Correct Answer is C

Explanation

Choice A rationale

Fasting is not required before a bone marrow aspiration, as the procedure does not involve anesthesia requiring an empty stomach. Preparation focuses on minimizing anxiety and ensuring access to the site, rather than dietary restrictions.

Choice B rationale

Local anesthetic agents are administered during a bone marrow aspiration to numb the insertion site and reduce pain. This intervention is crucial for client comfort and is standard practice in most healthcare facilities.

Choice C rationale

Pressure is applied to the aspiration site immediately after the procedure to control bleeding. Bone marrow aspiration involves penetrating the bone, and applying pressure helps achieve hemostasis and reduces the risk of complications such as hematoma formation.

Choice D rationale

The bone marrow is typically aspirated from the iliac crest (hip bone) rather than the femur. This site is preferred because it is more accessible, less painful for the client, and contains sufficient marrow for analysis.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["119"]

Explanation

A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration.Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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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?