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 B

Explanation

A. Tachycardia is not a classic indicator of increased ICP. Increased ICP is more commonly associated with bradycardia or changes in heart rate patterns.

B. Restlessness can be an early sign of increased ICP, as it often reflects changes in brain function and consciousness. This should be monitored closely in a client with a traumatic brain injury.

C. Hypotension is not typically associated with increased ICP; in fact, elevated blood pressure is more commonly seen in cases of increased ICP.

D. Amnesia, while it may be related to brain injury, is not a direct sign of increased ICP. The more direct indicators are changes in level of consciousness, restlessness, and altered vital signs.

A. Hold the client's arms and legs from moving. B. Place the client back in bed. C. Insert a tongue blade in the client's mouth. D. Place the client on his side.

Correct Answer is D

Explanation

A. Holding the client's arms and legs can cause injury and does not help in managing the seizure. The focus should be on protecting the client from harm.
B. Moving the client back to bed during a seizure can be dangerous and increase the risk of injury. It's best to manage the seizure where the client is.
C. Inserting a tongue blade or any object into the client's mouth can cause injury to the teeth or oral cavity and is not recommended during a seizure.
D. Placing the client on his side helps maintain an open airway and prevents aspiration, which is crucial during a seizure to ensure the client’s safety.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?

Correct Answer is B

Explanation

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

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