The nurse is caring for a client with a double lumen peripherally inserted central catheter (PICC) line on the right upper extremity, that flushes easily but does not have a blood return. Normal saline is infusing through one port and a vasopressor agent is infusing through the other port.

Which intervention(s) should the nurse implement? Select all that apply.

Stop the infusions and insert an antecubital IV catheter.

Continue Infusions as long as catheter flushes easily.

Aspirate and flush the line until a blood return is obtained.

Observe the extremity for signs of infiltration.

Acquire consent for a new PICC line insertion.

Answer and Explanation

Correct Answer : B,D

A. Stopping the infusions and inserting a new catheter may not be necessary at this point unless complications develop.

B. As long as the catheter is flushing easily and the infusions are not causing complications (such as infiltration), it is appropriate to continue using it.

C. Aspirating and flushing the line until a blood return is obtained may cause damage to the catheter or further complications.

D. Monitoring for signs of infiltration is crucial, as the inability to aspirate a blood return may indicate a partial occlusion or other issues with the PICC line.

E. Replacing the PICC line may not be necessary unless more severe complications are observed.

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Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Describing heart rate patterns: Fetal heart rate patterns are essential indicators of the fetus's response to labor. By teaching the client about these patterns, the nurse can help the client understand what is normal and what may signal potential distress, helping to alleviate anxiety and provide education during labor.

Continuous fetal monitoring: Continuous fetal monitoring is a key tool for assessing the fetus's well-being during labor. It helps the nurse track the fetal heart rate and identify any abnormal patterns that could indicate fetal distress, such as late decelerations or significant variability.

A. Prepare client for endotracheal intubation. B. Obtain a sputum sample for culture and sensitivity. C. Apply a nonrebreather mask at 10096 oxygen. D. Place the client in a forward-leaning position.

Correct Answer is C

Explanation

A. Intubation is not the first step unless the client's respiratory status continues to deteriorate despite oxygen therapy.

B. Obtaining a sputum culture may be helpful but does not address the immediate respiratory compromise.

C. A nonrebreather mask with 100% oxygen provides high-flow oxygen and is essential for a client with worsening dyspnea and low oxygen saturation.

D. A forward-leaning position may help with breathing but does not provide the necessary oxygen support in this acute situation.

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Correct Answer is C

Explanation

Patient Data Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Select the 3 findings that would require immediate action from the nurse while the laboring mother is receiving an epidural anesthesia.

A client is admitted during the acute phase of a stroke. The nurse observes that the client is restless and unable to follow instructions. Which instruction(s) should the nurse provide the unlicensed assistive personnel (UAP) who is assisting with the care of the client? Select all that apply.

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

One year after being discharged from the burn trauma unit, a client with a history of 40% full-thickness burns is admitted with bone pain and muscle weakness. Which intervention should the nurse include in this client's plan of care?

Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Exhibits According to the lab values, the client has dropdownrelated to dropdownordropdown.

A client with deep vein thrombosis (DVT) is receiving a continuous heparin IV infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.