The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

Numbness and tingling to the left hand.

Slight bloody drainage at the subclavian insertion site.

Dressing is beginning to lift around the insertion site.

Slight redness at the subclavian insertion site.

Answer and Explanation

The Correct Answer is A

A. Numbness and tingling in the left hand could indicate compromised blood flow or nerve damage, potentially due to the arterial line, requiring immediate assessment and intervention.

B. Slight bloody drainage is a common finding and typically does not require immediate action.

C. A dressing beginning to lift should be addressed to maintain a sterile environment but is not an emergency.

D. Slight redness at the insertion site may indicate mild irritation or early signs of infection, but it does not require immediate intervention compared to the potential vascular or nerve compromise suggested by numbness and tingling.

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Correct Answer is B

Explanation

A. While a CVP catheter might be in place for an extended period, its purpose is not directly related to heart healing.

B. The CVP catheter is used to monitor central venous pressure, which helps guide fluid management and assess right heart function.

C. The CVP catheter does not extend into the left ventricle; it is typically positioned in the superior vena cava or right atrium.

D. The CVP catheter may have multiple lumens for administering fluids, but its primary purpose is hemodynamic monitoring, not just providing IV access.

A. "Perhaps you should discuss this with your physician." B. "I recommend you exercise daily and avoid smoking to decrease your risk." C. "Tell me more about these fears of dying from a heart attack." D. "Of course you aren't going to die, at least not in the immediate future."

Correct Answer is C

Explanation

A. Referring the patient to the physician without addressing the concern may make the patient feel dismissed.

B. While lifestyle changes are important, this response does not address the patient’s emotional concern directly.

C. Encouraging the patient to express their fears allows the nurse to provide emotional support and address any misconceptions or anxieties, which is crucial for holistic care.

D. This response could be seen as dismissive and may not address the patient’s underlying concerns or fears.

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The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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