A nurse is teaching a client who is to begin chemotherapy about a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include in the teaching?

"We will change the dressing daily."

"We can measure your blood pressure in either arm."

"We will replace the PICC every month."

"We can draw blood samples from the PICC for diagnostic tests."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "We will change the dressing daily." The dressing for a PICC is typically changed every 7 days, or sooner if it becomes wet or soiled. Changing it daily is not necessary unless there is a specific indication for more frequent changes, such as infection or drainage.

B. "We can measure your blood pressure in either arm." It is not recommended to measure blood pressure in the arm with the PICC line as this could increase the risk of complications, such as dislodging the catheter or causing discomfort. BP should be measured in the opposite arm.

C. "We will replace the PICC every month." It is a long-term catheter, used for several months, unless there are complications or it needs to be replaced due to malfunction or infection. Regular assessments and care are necessary, but replacement is not routine monthly.

D. "We can draw blood samples from the PICC for diagnostic tests." The PICC line is often used for drawing blood samples, as it provides easy access to the central venous system. Blood can be drawn from the PICC for diagnostic tests, which is one of its primary uses in chemotherapy patients.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Chronic Kidney Disease (CKD): The elevated BUN and creatinine levels, along with the client's decreased urine output and fluid retention, suggest impaired kidney function, increasing the risk for chronic kidney disease, especially with underlying comorbidities.

B. Hyperglycemia: There are no signs or symptoms indicating hyperglycemia, so hyperglycemia is unlikely to be a concern in this case based on the presented findings.

C. Uremia: Uremia occurs when waste products accumulate in the blood due to renal dysfunction, and the elevated BUN and creatinine, combined with symptoms like fatigue and dyspnea, indicate this condition in the client.

D. Hyperkalemia: Impaired kidney function limits potassium excretion, increasing the risk for hyperkalemia. Given the client’s kidney impairment, this can lead to elevated potassium levels and potentially cause life-threatening arrhythmias.

E. Polycystic Kidney Disease: Polycystic kidney disease typically presents with a gradual onset of symptoms like kidney enlargement and a family history, which the client’s acute presentation does not support, making PKD an unlikely diagnosis.

A. Provide analgesic medication prior to physical activities. B. Administer naloxone if the client's respiratory rate is greater than 24/min. C. Withhold analgesic medication unless the client reports pain. D. Inform the client to monitor for loose stools while taking opioid analgesia

Correct Answer is A

Explanation

Rationale:

A. Provide analgesic medication prior to physical activities: Administering analgesic medication prior to physical activities helps facilitate recovery by minimizing pain, which can encourage the client to engage in necessary activities such as deep breathing, coughing, and ambulation to prevent complications like pneumonia or blood clots.

B. Administer naloxone if the client's respiratory rate is greater than 24/min: Naloxone is used to reverse opioid overdose, particularly if the respiratory rate is low (less than 12/min). A respiratory rate greater than 24/min does not require naloxone administration.

C. Withhold analgesic medication unless the client reports pain: Withholding analgesics can hinder the client's ability to participate in activities necessary for recovery. Managing pain proactively, rather than reactively, is essential to help the client with early mobilization.

D. Inform the client to monitor for loose stools while taking opioid analgesia: Opioids are more likely to cause constipation rather than loose stools. Clients taking opioid analgesia should be informed about the risk of constipation..

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client who is to begin chemotherapy about a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in the emergency department. Exhibits Select the 3 complications the client is at risk for developing.

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client's recovery?

Correct Answer is A

Explanation

A nurse is caring for a client who has pneumonia caused by Haemophilus influenzae type B. Which of the following types of isolation precautions should the nurse implement?

A nurse is assessing a client who has a urinary tract infection and is receiving cefaclor. The nurse should monitor the client for which of the following adverse effects of the medication?

A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

The nurse is reviewing the client's medical record. Exhibits For each potential provides prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

A home health nurse is teaching a client who has heart failure. Which of the following responses should the nurse identify as an indication that the client understands the teaching?

A nurse is teaching a group of assistive personnel about performing hand hygiene when caring for a client who has an immunodeficiency disorder. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?