A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?

Arteriovenous fistula

Implanted infusion port

Short peripheral catheter

Peripherally inserted central catheter

Answer and Explanation

The Correct Answer is D

A. An arteriovenous fistula is used for dialysis, not for long-term antibiotic therapy.
B. An implanted infusion port is suitable for long-term therapy but is typically used for medications that require infusions over weeks or months rather than prolonged IV therapy.
C. A short peripheral catheter is not appropriate for extended therapy due to the risk of thrombophlebitis and infiltration.
D. A peripherally inserted central catheter (PICC) is appropriate for long-term intravenous antibiotic therapy as it provides reliable access and reduces the risk of complications associated with extended peripheral catheter use.

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Correct Answer is A

Explanation

A. Performing neurovascular checks of the extremities is critical to detect signs of complications such as impaired circulation or nerve damage, which can occur after orthopedic surgery. This assessment is essential for early identification of potential issues.

B. While performing exercises of the ankle and toes is important for preventing complications like deep vein thrombosis, it is secondary to ensuring neurovascular integrity.

C. Instructing the client on the use of crutches is necessary for mobility and safety, but it follows the priority of monitoring for neurovascular complications.

D. Medicating the client for pain is important for comfort, but addressing potential neurovascular issues is a higher priority in the immediate postoperative period to prevent serious complications.

A. "I need to drink 8 cups of liquid each day." B. "I will need to wipe my perineal area from back to front after urination." C. "I will need to empty my bladder regularly and completely." D. "I will need to drink apple cider vinegar each day."

Correct Answer is B

Explanation

A. Drinking 8 cups of liquid daily is a correct measure to help flush out bacteria and prevent UTIs.
B. Wiping from back to front can increase the risk of transferring bacteria from the rectal area to the urethra; the correct practice is to wipe from front to back.
C. Regular and complete bladder emptying helps reduce the risk of bacterial growth in the urinary tract.
D. Drinking apple cider vinegar is not a standard recommendation for preventing UTIs; more evidence-based practices should be emphasized.

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A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?

Nursing Test Bank

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Correct Answer is B

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