A nurse is teaching a client who is to undergo placement of a non-tunneled percutaneous central venous access device. Which of the following Statements should the nurse include in the teaching?
“Placement of the catheter is confirmed by a CT scan."
“The provider will wear a mask while performing the procedure.”
“Your head will be elevated as high as possible while the catheter is inserted."
"You will be under general anesthesia for this procedure.”
The Correct Answer is B
A. Placement is confirmed via chest X-ray, not CT scan.
B. The procedure is performed using strict sterile technique—the provider wears a mask, sterile gloves, and gown to prevent infection.
C. The client’s head is lowered (Trendelenburg position) to promote venous filling and reduce the risk of air embolism.
D. Local anesthesia is used, not general anesthesia.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. While long-term budgeting can aid financial planning, cost-effectiveness in healthcare focuses on strategies that balance quality and expense in the short to medium term. A 10-year budget does not inherently ensure cost-effective care.
B. Purchasing more expensive items does not guarantee better outcomes. Cost-effective care means achieving the best possible client outcomes at the lowest reasonable cost.
C. Hiring travel nurses generally increases staffing costs due to higher hourly wages and agency fees, making it a less cost-effective option unless used temporarily during staffing crises.
D. Preventing hospital readmissions through effective discharge planning, client education, and follow-up care reduces unnecessary healthcare utilization and expenses while improving patient outcomes. This is a key measure of both quality and cost-effective nursing practice.
Correct Answer is C
Explanation
Rationale:
A. Closed-ended questions restrict expression and hinder understanding of the root cause. Open-ended questions encourage communication and collaboration.
B. Allowing defensive responses escalates tension and prevents constructive resolution. The goal is to promote respectful dialogue, not defensiveness.
C. Gathering individual information ensures all perspectives are heard and accurately represented. This helps the manager identify underlying causes, misunderstandings, or emotional concerns before facilitating a joint discussion.
D. Passive listening (such as nodding without engagement) is ineffective in conflict management. Active listening—demonstrating understanding and paraphrasing key points—is necessary for effective resolution.
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