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 D
Explanation
A. Decreased specific gravity is not typical of right-sided heart failure. Increased specific gravity is often associated with fluid retention.
B. PAWP is more relevant for left-sided heart failure; right-sided heart failure would typically not show an increase in PAWP.
C. BNP levels usually increase in heart failure, including right-sided heart failure, not decrease.
D. Elevated CVP and jugular vein distention are classic signs of right-sided heart failure due to increased venous pressure and fluid overload.
Correct Answer is C
Explanation
A. New pajamas are generally not a risk for infection and do not pose a significant threat to an immunosuppressed patient.
B. Well-done meat is safe for consumption and does not pose an infection risk in this context.
C. A potted plant can harbor soil-borne bacteria and fungi, posing a risk of infection to immunosuppressed patients and should be avoided.
D. A new iPad from the online store is unlikely to introduce infection and does not pose a significant risk.
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