A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN. Which of the following actions should the nurse take?

Verify the amount of TPN solution the client is receiving every 4 hr.

Prepare the client for a chest x-ray to verify catheter placement.

Place the client in Sims' position for catheter insertion.

Use a clean technique when changing the catheter dressing.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Verifying the TPN solution amount is not directly related to preparing for central venous catheter insertion.
B.   Correct. Chest X-rays are typically done after central venous catheter insertion to confirm proper catheter placement.
C.   Incorrect. Sims' position is not the appropriate position for central venous catheter insertion.
The Trendelenburg position is commonly used for this purpose.
D.   Incorrect. Sterile technique, not clean technique, is used for changing the catheter dressing to prevent infection.

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Correct Answer is C

Explanation

A. Incorrect. Justice refers to fairness and equitable treatment of clients. While important, it does not specifically pertain to the nurse's communication about medication adverse effects.
B. Incorrect. Autonomy refers to the client's right to make decisions about their own care and treatment. While truthfully communicating about medication's adverse effects supports autonomy, veracity is the ethical concept specifically related to truthfulness.
C. Correct. Veracity is the ethical concept of truthfulness and honesty in communication. When the nurse communicates truthfully about the potential adverse effects of the medications, they are demonstrating veracity.
D. Incorrect. Beneficence refers to the duty to do good and promote the well-being of the client.
While important, it is not the ethical concept specifically related to truthful communication about medication's adverse effects.

A. Restrain the child's upper extremities. B. Place a padded tongue blade in the child's mouth. C. Turn the child onto their back. D. Place a pillow under the child's head.

Correct Answer is D

Explanation

A. Restraining the child's upper extremities is not recommended during a seizure as it can cause injury.
B. Placing a padded tongue blade in the mouth can lead to injury and is not recommended during a seizure.
C. Turning the child onto their back is appropriate to ensure a clear airway, but it should be done gently without forcing movements.
D. Correct. Placing a pillow under the child's head helps protect their head from injury during the seizure.

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A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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