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 {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Rationale:
Seizures: The client’s severe hypertension (BP 166/110 mm Hg), proteinuria (3+), and neurological symptoms (headache) place her at high risk for eclampsia, which is characterized by the onset of seizures in a client with preeclampsia.
Placental abruption: Severe preeclampsia increases the risk of placental abruption, which is the premature separation of the placenta from the uterine wall, especially in clients with high blood pressure.
Correct Answer is D
Explanation
A. Covering extension cords with rugs traps heat and can cause insulation breakdown, leading to electrical fires, this practice should be avoided.
B. Pulling a plug out by the cord damages the wire and insulation, increasing fire and shock risk. The plug should be removed by grasping the plug head itself.
C. A tingling sensation indicates possible electrical leakage or damage; cords with this issue should be discarded, not used.
D. Three-pronged grounded plugs provide a safe path for stray electrical currents, reducing the risk of electrical fires and shocks. This is a key electrical safety measure in the home.
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