An unlicensed assistive personnel (UAP) is assisting with the care of a client with a peripherally inserted central venous catheter (PICC). Which guidance should the practical nurse (PN) provide to the UAP?
Be sure to keep the head of the client's bed elevated.
Change the dressing over the catheter insertion site.
Feed the client all meals to reduce arm movement.
Use the opposite arm for blood pressure measurement.
The Correct Answer is D
A. Keeping the head of the bed elevated is not specifically related to the care of a PICC line. The elevation may be a general comfort measure but is not a specific instruction for PICC line management.
B. Changing the dressing over the PICC line insertion site is a sterile procedure that should be performed by a licensed nurse, not a UAP. This task requires specific training and adherence to infection control practices.
C. Feeding the client all meals to reduce arm movement is not necessary and may be overly restrictive. The UAP’s role does not include limiting the client's activity beyond reasonable measures.
D. Using the opposite arm for blood pressure measurement is the correct guidance. It prevents potential interference with the PICC line and helps avoid complications such as dislodgement or infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Maternal hypotension is a significant adverse effect of epidural anesthesia that can lead to decreased uterine blood flow and fetal distress. Monitoring for hypotension is critical to ensure both maternal and fetal well-being.
B. While a vaginal hematoma is a potential complication, it is less immediately associated with the administration of epidural anesthesia compared to hypotension.
C. A continuous headache could indicate post-dural puncture but is less common and not the primary immediate concern compared to hypotension following an epidural.
D. Urinary retention can occur with epidural anesthesia, but maternal hypotension is a more urgent and significant immediate concern.
Correct Answer is B
Explanation
A. While it’s important to keep the client calm, this task may not be the most critical or appropriate for a UAP in an emergency situation. The nurse typically leads in managing the client's immediate needs.
B. This is a crucial task because the PN will need sterile supplies (e.g., sterile saline, dressings) to manage the evisceration. The UAP can efficiently gather these supplies, allowing the PN to focus on assessing the client and providing immediate care. This delegation is appropriate because it helps expedite the response to a critical situation.
C. Covering the wound is a critical step in managing evisceration, which should be performed by the PN to ensure it is done correctly and to maintain sterile technique. The PN is responsible for the clinical management of the emergency.
D. Repositioning the client could exacerbate the situation or delay necessary interventions. The PN must assess and manage the evisceration while ensuring the client remains as stable as possible.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.