The nurse knows that an advantage of using a central venous access device is that:

central lines have a lower risk of sepsis than peripheral sites.

patency can be confirmed with a normal saline flush unlike peripheral IV catheters.

placement can be performed with medical aseptic technique.

fluids & medications that may be irritating to peripheral veins can be given.

Answer and Explanation

The Correct Answer is D

D. fluids and medications that may be irritating to peripheral veins can be given through a central venous access device (CVAD). CVADs are beneficial because they allow for the administration of vesicants, irritant solutions, or large volumes of fluid that could damage smaller, peripheral veins. They also provide reliable venous access for patients who are critically ill, have poor venous access, or require long-term medication treatment, such as for pain, infection, cancer, or to supply nutrition.
A. While central lines do have a risk of sepsis, it is not necessarily lower than peripheral sites
B. Patency confirmation methods are not exclusive to CVADs and are also applicable to peripheral IV catheters.
C. Both placement and maintenance require strict aseptic techniques to minimize the risk of infection.

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Correct Answer is D

Explanation

D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.

A. "In a few months I will be strong enough to travel to my shore house and go fishing." B. "My family will not be permitted to be with me when I die." C. 1 will be in a hospital room when II die." D. " will have pain medication available when I need it."

Correct Answer is D

Explanation

D. This statement indicates an understanding of hospice care. Pain management is a crucial component of hospice care, and ensuring that patients have access to effective pain medication and symptom management is a priority. Hospice aims to maximize comfort and quality of life for patients, and providing pain relief is a fundamental aspect of this approach.
A. This statement suggests that the client may not fully understand the purpose of hospice care. Hospice care is generally provided to patients with a terminal illness who have a life expectancy of six months or less. The focus of hospice care is on comfort, quality of life, and symptom management rather than curative treatment. Planning for travel and activities like fishing may not align with the goals of hospice care.
B. This statement indicates a misunderstanding of hospice care. In hospice, patients are typically encouraged to have their loved ones and family members present and involved in their care, especially during the end-of-life period. Hospice care emphasizes emotional support, spiritual care, and the importance of family involvement during the dying process.
C. This statement may or may not indicate an understanding of hospice care, as it depends on the specific hospice setting and individual preferences. While some hospice programs may provide care in a hospital setting, many hospice services are delivered in the patient's home or in a hospice facility. The key aspect of hospice care is to provide comfort and support in a setting that best meets the patient's needs and wishes.

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The nurse knows that an advantage of using a central venous access device is that:

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Naxlex Comprehensive Predictor Exams

Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I

Correct Answer is D

Explanation

The nurse is caring for a client who is discussing being placed on hospice care. Which statement by the client indicates an understanding of hospice care?

Correct Answer is D

Explanation

The nurse is assessing a client who has been experiencing prolonged stress. For which most serious complication should the nurse monitor the client?

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A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:

Which of the following are physiologic manifestations which occur in the alarm stage of the General Adaptation Syndrome? (SELECT ALL THAT APPLY)

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