A client will require IV antibiotics for several weeks. Which venous access device would be most appropriate to be used for this client?
a butterfly needle
a peripherally inserted central catheter
a peripheral IV-lock
a small gauge (16g) peripheral anglocath
The Correct Answer is B
B. A PICC line is a long, flexible catheter inserted into a peripheral vein, typically in the upper arm, and advanced until the tip lies in the superior vena cava or the cavoatrial junction. PICC lines are suitable for long-term venous access and are often used for administering medications, including antibiotics, over several weeks or months. They offer stable and reliable access, reducing the need for frequent venipunctures.
A. Butterfly needles are typically used for short-term venous access, such as for blood draws or administering medications that do not require long-term therapy. They are not suitable for prolonged use or for administering medications over several weeks, as they are not designed for secure and stable access over an extended period.
C. A peripheral IV-lock, also known as a saline lock or heplock, is a short catheter inserted into a peripheral vein and then capped off for intermittent use. While peripheral IV-locks are suitable for short-term venous access, they are not ideal for prolonged therapy lasting several weeks. Additionally, they may not provide the necessary stability and reliability for administering IV antibiotics over an extended period.
D. A small gauge peripheral angiocath refers to a short catheter inserted into a peripheral vein for intravenous access. While a larger gauge catheter, such as a 16-gauge, may allow for faster infusion rates and is suitable for certain situations requiring rapid fluid administration, it may not be the most appropriate choice for long-term IV antibiotic therapy. The choice of gauge depends on factors such as the client's vein size, the viscosity of the medication, and the duration of therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Adapting to a stressor involves adjusting one's thoughts, feelings, or behaviors in response to the stressor. The nursing instructor's advice to the student to think of each clinical day as an opportunity to learn new things is an example of adapting to the stressor of clinical anxiety. By reframing the clinical experience as an opportunity for growth and learning, the student can change their perspective and better cope with their anxiety.
A. Eliminating a stressor involves completely removing the source of stress from the situation. In this scenario, the nursing instructor is not removing the clinical experience itself, which may be causing the student's anxiety, but rather providing a coping strategy to help the student manage their anxiety and view the clinical day in a more positive light.
C. Altering a stressor involves making changes to the stressor itself to reduce its impact or eliminate it altogether. In this scenario, the nursing instructor is not directly altering the clinical experience but rather providing a cognitive coping strategy to help the student manage their anxiety. While altering the clinical experience itself may not be feasible, altering one's perception of the experience can be an effective way to cope with stress.
D. Avoiding a stressor involves deliberately avoiding or withdrawing from the situation or activity that is causing stress. In this scenario, the nursing instructor is not advising the student to avoid clinical altogether but rather providing guidance on how to approach and cope with the clinical experience in a more positive and constructive manner.
Correct Answer is D
Explanation
D. Calling the prescribing physician to clarify the order is the most appropriate action in this situation. Direct communication with the physician allows the nurse to express concerns, seek clarification, and ensure that the medication order is appropriate and safe for the client.
A. Administering a medication at a higher than recommended dose could potentially harm the client and is not in line with safe medication administration practices. It's essential to follow the established guidelines and recommendations for medication dosing to avoid adverse effects or complications.
B. Holding the ordered dose and documenting the rationale is an appropriate initial action. This allows the nurse to pause the administration of the medication, prevent potential harm to the client, and provide a clear record of the decision-making process. Holding the dose also provides an opportunity for further clarification with the prescribing physician.
C. While reporting a mistake to the pharmacy is important, it may not be the most immediate action to take when dealing with a higher than recommended dose of medication. Direct communication with the prescribing physician is necessary to clarify the order and ensure appropriate action is taken promptly.
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