A nurse is teaching a client who is to receive long-term antibiotic therapy through a peripherally inserted central catheter (PICC) line. Which of the following statements should the nurse include in the teaching?
"The provider will select the area of the wrist for the PICC insertion site."
"You should avoid bending your arm."
"The provider will replace your PICC line after 3 weeks."
"You will use a 10-mL syringe to flush the PICC line
The Correct Answer is D
A. The wrist is not an appropriate site for PICC insertion. A PICC line is typically inserted into a large vein in the upper arm, such as the basilic or cephalic vein.
B. While it's important to avoid excessive or repetitive bending at the elbow, the client does not need to keep the arm completely straight at all times. Normal movement is allowed with precautions.
C. A PICC line can stay in place for weeks to months, depending on the client's needs and condition. Routine replacement after 3 weeks is not standard practice unless there’s a complication.
D. A 10-mL syringe is recommended for flushing a PICC line, as using smaller syringes creates higher pressure, which can damage the catheter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"}}
Explanation
Ferritin level (15 ng/mL)
IDA: Ferritin is the primary iron storage protein, and low levels indicate iron deficiency.
SCD: Ferritin can be normal or high due to repeated transfusions; low ferritin is not characteristic.
PA: Ferritin is typically normal; B12 deficiency is the key feature.
Vitamin B12 level (144 ng/mL)
PA: Pernicious anemia results from B12 deficiency due to intrinsic factor deficiency or malabsorption.
IDA/SCD: B12 is usually normal.
Fatigue
All three conditions: Fatigue is a common symptom of anemia, regardless of etiology.
Orthostatic hypotension
All three conditions: Low hemoglobin or anemia reduces oxygen delivery, potentially causing dizziness or hypotension upon standing.
Correct Answer is B
Explanation
A. Serous drainage is not expected with a pneumothorax, which usually involves air in the pleural space, not fluid. If fluid is present, it would typically be minimal and possibly bloody if trauma is involved.
B. Tidaling (the rise and fall of water in the water seal chamber with the client's respirations) is an expected finding and indicates that the chest tube system is patent and responding to changes in intrathoracic pressure.
C. Tracheal deviation toward the unaffected side is a sign of a tension pneumothorax, which is a medical emergency, not an expected finding after chest tube placement.
D. Diminished breath sounds in the lung base may occur with a pleural effusion but are not the typical expected outcome following a chest tube for pneumothorax. Breath sounds should gradually improve as the lung re-expands.
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