The nurse is working on a cardiac unit with several patients who have intravenous access lines. The nurse identifies the following are considered central venous catheters: (Select All That Apply)

Midline catheter

Tunneled catheter

Non-Tunneled catheter

Peripheral IV

PlCC Line

Answer and Explanation

Correct Answer : B,C,E

Explanation: Central venous catheters are catheters that are inserted through a vein in the chest, neck, or groin and then threaded through to a large vein near the heart. These types of catheters are used for long- term treatment and monitoring of critically ill patients.

A midline catheter is a type of peripheral IV catheter that is longer and extends into the upper arm, but it does not reach a central vein and is not considered a central line. Therefore, option a. is incorrect.

A peripheral IV catheter is inserted into a peripheral vein (e.g., hand, arm), and it does not reach a central vein, making it a peripheral line. Therefore, option d. is incorrect.

A tunneled catheter is a type of central venous catheter that is inserted through a small incision in the chest and then tunneled under the skin to a central vein. It is typically used for long-term treatment and is less likely to become infected than a non-tunneled catheter. Therefore, option b. is correct.

A non-tunneled catheter is a type of central venous catheter that is inserted directly into a central vein in the chest, neck, or groin. It is typically used for short-term treatment and is more likely to become infected than a tunneled catheter. Therefore, option c. is correct.

A PICC line (peripherally inserted central catheter) is a type of central venous catheter that is inserted through a vein in the arm and then threaded through to a central vein near the heart. It is typically used for long-term treatment and is less invasive than other types of central lines. Therefore, option e. is correct.

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Correct Answer is A

Explanation

This response provides the patient with accurate and reassuring information about the EKG procedure. It explains that the test is painless and describes what will happen during the test. The other responses do not provide as much information or reassurance to the patient.

A. Auscultate bilateral breath sounds. B. Obtain blood culture for tuberculosis. C. Request pulmonary function studies. D. Document the findings.

Correct Answer is A

Explanation

The client's greenish-yellow sputum with a musty odor may indicate an infection, such as pneumonia or bronchitis, which can aﬀect the client's lung function. By auscultating bilateral breath sounds, the nurse can assess for the presence of abnormal lung sounds, such as crackles or wheezing, which may indicate further respiratory compromise.

While obtaining a blood culture for tuberculosis (option b) may be appropriate in certain circumstances, the client's sputum color and odor do not necessarily indicate tuberculosis as the cause of their respiratory symptoms.

Requesting pulmonary function studies (option c) may also be beneficial in assessing the client's lung function, but this is not the priority assessment in this situation.

Finally, while documenting the findings (option d) is an important aspect of nursing care, it is not the priority action when the client is presenting with signs of compromised lung function.

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The nurse is working on a cardiac unit with several patients who have intravenous access lines. The nurse identifies the following are considered central venous catheters: (Select All That Apply)

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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