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.

Use clean technique when changing the catheter dressing.

Place the client in Sims' position for catheter insertion.

Answer and Explanation

The Correct Answer is B

When a central venous catheter (CVC) is inserted, it is essential to confirm proper catheter placement to ensure safe and effective administration of TPN and other medications. A chest x-ray is the gold standard method to verify the correct positioning of the CVC tip. It helps determine if the catheter is appropriately positioned in the superior vena cava or another desired location, which minimizes the risk of complications such as pneumothorax or improper medication delivery.

The other options listed are not appropriate actions for the nurse to take in this situation:

Verifying the amount of TPN solution the client is receiving every 4 hours is a task related to ongoing monitoring of TPN administration, but it is not directly related to the preparation of the client for CVC insertion.
Using clean technique when changing the catheter dressing is not appropriate for CVC insertion. Sterile technique is required during the insertion of a CVC to minimize the risk of infection.
Placing the client in Sims' position is not the appropriate position for CVC insertion. The client is typically placed in a supine or Trendelenburg position during the procedure to facilitate access to the central venous system.

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Correct Answer is A

Explanation

Explanation:

A nasal cannula is a device used to deliver supplemental oxygen to a client. It consists of two prongs that are inserted into the client's nostrils and connected to an oxygen source. The nasal cannula is commonly used for low-flow oxygen delivery at a rate of 1 to 2 liters per minute (L/min).

The other options mentioned are not necessary supplies for the client upon discharge:

B- Petroleum jelly is not directly related to oxygen therapy and is not a required supply for the client. It is a common topical ointment used for various purposes such as moisturizing the skin or protecting the lips, but it is not specifically needed for oxygen administration.

C- An oxygen mask is an alternative device for oxygen delivery but is not typically used at a flow rate of 1 to 2 L/min. Oxygen masks are usually employed for higher flow rates or in specific clinical situations that require a different oxygen delivery method.

D- A reservoir bag is a component of some oxygen delivery systems, such as a non-rebreather mask or a bag-valve-mask device. However, at a flow rate of 1 to 2 L/min, a reservoir bag is not typically used. It is more commonly utilized in situations where higher oxygen concentrations or higher flow rates are required.

A. Family medical history B. Medical health insurance claims C. Medications taken prior to admission D. Physical assessment findings

Correct Answer is D

Explanation

Including the client's physical assessment findings will provide important information to the physical therapist regarding the client's current condition, limitations, and areas that require rehabilitation or therapy.

While family medical history is important for comprehensive healthcare, it may not be specifically relevant to the referral for a physical therapist unless there is a specific genetic or familial condition that could impact the therapy or rehabilitation process.

Medical health insurance claims are primarily related to billing and reimbursement and may not provide pertinent information to the physical therapist unless there are specific coverage limitations or requirements that need to be considered.

While medication history is important for overall healthcare management, it may not be directly relevant to the referral for a physical therapist unless there are specific medications that could affect the therapy or rehabilitation process (e.g., medications that may cause drowsiness or affect balance).

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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

Oxygen at 1 to 2 L/min. The nurse should ensure that the client has which of the following supplies upon discharge?

Correct Answer is A

Explanation

A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include?

Correct Answer is D

Explanation

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