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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Xerostomia, or dry mouth, can occur due to various causes, including medications, but it is not an infectious condition linked directly to AIDS.
B. Candidiasis, or oral thrush, is a common opportunistic infection in clients with AIDS due to their weakened immune system and low CD4-T-cell count. It is caused by the overgrowth of Candida species in the mouth.
C. Gingivitis, an inflammation of the gums, can occur in immunocompromised individuals but is not as specific or common in AIDS as candidiasis.
D. Halitosis, or bad breath, can be a symptom of various conditions, including oral infections, but it is not a specific infectious condition associated with AIDS like candidiasis is.
Correct Answer is A
Explanation
A. Aluminum hydroxide is effective in lowering serum phosphorus levels, which is beneficial for CKD patients who often have elevated phosphorus due to impaired kidney function.
B. Serum potassium levels are not directly affected by aluminum hydroxide; this would be more relevant to medications like potassium binders.
C. Serum calcium levels are not primarily influenced by aluminum hydroxide; in fact, aluminum can affect calcium levels in different ways.
D. Serum magnesium levels are not significantly affected by aluminum hydroxide, whereas magaldrate, which contains magnesium, could potentially increase magnesium levels.
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