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. Hemorrhagic stroke is often associated with a sudden, severe headache, high blood pressure, and neurological symptoms such as seizures and vomiting due to the rupture of a blood vessel in the brain.
B. Thrombotic stroke is typically characterized by the gradual onset of symptoms due to a clot forming in an artery supplying the brain, not usually presenting with sudden severe headache and vomiting.
C. Transient ischemic attack (TIA) presents with temporary neurological symptoms that resolve within 24 hours and does not usually involve seizures, severe headache, or significantly elevated blood pressure.
D. Embolic stroke occurs when a blood clot travels to the brain, leading to sudden onset of symptoms, but it is less commonly associated with the severe headache, vomiting, and hypertension seen in hemorrhagic stroke.

A. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg B. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg C. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg D. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg

Correct Answer is C

Explanation

A. This set shows a low pH, normal HCO3-, and high PaCO2, indicative of respiratory acidosis, not typical for chronic kidney disease.
B. This set shows a high pH, elevated HCO3-, and low PaCO2, indicative of metabolic alkalosis, which is not characteristic of chronic kidney disease.
C. Chronic kidney disease often leads to metabolic acidosis with low pH, low HCO3-, and normal or low PaCO2 as the kidneys fail to excrete acid effectively.
D. This set shows a high pH and low HCO3-, with a near-normal PaCO2, which does not align with the typical metabolic acidosis seen in chronic kidney disease.

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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

Correct Answer is A

Explanation

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer is C

Explanation

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