A nurse is caring for a client who has just had a central venous catheter placed via the right subclavian vein. Which of the following actions should the nurse take?
Place the client in the Trendelenburg position
Encourage active range of motion exercises of the right arm
Keep the client's right arm immobilized
Instruct the client to cough frequently
The Correct Answer is C
The client's right arm should be immobilized to prevent dislodgment of the central venous catheter. The Trendelenburg position is not indicated in this situation and may increase the risk of complications. Active range of motion exercises of the right arm and frequent coughing can also increase the risk of catheter dislodgment.
Choice A, placing the client in the Trendelenburg position, is not the correct answer because it is not indicated in this situation and may increase the risk of complications.
Choice B, encouraging active range of motion exercises of the right arm, is not the correct answer because it can increase the risk of catheter dislodgment.
Choice D, instructing the client to cough frequently, is not the correct answer because it can increase the risk of catheter dislodgment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Requires nasogastric suction.
Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body.
This can cause hypokalemia, which is a low level of potassium in the blood.
Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.
Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.
Choice C is wrong because uric acid level is not related to potassium level.
Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.
Correct Answer is ["1000"]
Explanation
To calculate the number of calories the client should reduce their daily intake by to lose 0.9 kg (2 lb) of body fat per week , we can use the following formula: (0.9 kg/week) x (1 lb/0.45 kg) x (3500 calories/1 lb) = 7,000 calories/week To find the daily calorie reduction, divide 7,000 by 7 days: 7,000 calories/7 days = 1,000 calories/day Therefore, the nurse should instruct the client to reduce their daily caloric intake by 1,000 calories. Answer: 1000
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