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. A JP drain is not used for medication administration; its purpose is to remove fluid from the wound area.

B. The primary purpose of a JP drain is to prevent fluid from accumulating in the wound, which helps reduce the risk of infection and promotes healing by allowing continuous drainage of postoperative fluids.

C. While a JP drain helps manage fluid accumulation, it does not eliminate the need for wound irrigations if prescribed as part of the care plan.

D. A JP drain helps manage excess fluid but is not specifically designed to limit bleeding from the surgical site. Bleeding control is generally managed through other measures and monitoring.

A. Laparoscopic appendectomy B. Myringotomy C. Hip arthroplasty D. Cataract extraction

Correct Answer is C

Explanation

A. Laparoscopic appendectomy is a minimally invasive procedure with a lower risk of deep-vein thrombosis compared to more invasive surgeries.
B. Myringotomy is a minor ear surgery and typically does not have a significant risk of deep-vein thrombosis.
C. Hip arthroplasty is a major orthopedic surgery with a higher risk of deep-vein thrombosis due to prolonged immobility and trauma to the veins.
D. Cataract extraction is a relatively minor eye procedure with a minimal risk of deep-vein thrombosis.

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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 Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation (ORIF). The nurse should understand that the JP drain was placed for which of the following purposes?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

Correct Answer is C

Explanation

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