When preparing to administer an intravenous medication through a client's triple lumen central venous catheter, the nurse observes that there are no continuous intravenous fluids infusing. Which action should the nurse take?

Position the client's head facing away from the site.

Aspirate for the presence of a blood return.

Prepare a saline flush in a three mL syringe.

Initiate an infusion of 0.9% normal saline solution.

Answer and Explanation

The Correct Answer is B

A. Position the client's head facing away from the site: While positioning can help reduce the risk of infection or discomfort, it does not ensure that the catheter is patent or safe for medication administration.

B. Aspirate for the presence of a blood return: Confirming blood return verifies that the central venous catheter is patent and correctly positioned in the bloodstream. This is a critical safety step before administering intravenous medications to prevent extravasation or ineffective delivery.

C. Prepare a saline flush in a three mL syringe: While flushing the catheter is important for maintaining patency, the nurse must first confirm the catheter is patent by aspirating for blood return before flushing or administering medication.

D. Initiate an infusion of 0.9% normal saline solution: Starting a continuous infusion is not necessary solely for medication administration. The priority is confirming patency and safe access, after which flushing and medication administration can proceed.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

• Refrain from sharing towels and razors with others: Prevents transmission of bacteria that can enter through minor skin breaks and cause cellulitis. Maintaining personal hygiene items reduces the risk of reinfection or spreading pathogens to others.

• Complete full course of antibiotic therapy: Promotes healing by ensuring that the bacterial infection is fully eradicated. Stopping antibiotics prematurely can lead to treatment failure, recurrence, or development of resistant organisms.

• Wash hands before and after touching open wounds including bug bites: Prevents future cellulitis by reducing the likelihood of introducing bacteria to compromised skin. Proper hand hygiene is a key preventive measure for both the client and caregivers.

• Shower daily with antibacterial soap: Helps prevent future cellulitis by reducing bacterial load on the skin. Regular cleansing is particularly important in clients with diabetes or peripheral vascular disease, who are more prone to skin infections.

• Eat foods which contain protein and vitamin C: Promotes healing by supporting tissue repair and immune function. Adequate nutrition enhances wound healing, reduces recovery time, and strengthens defenses against infection.

A. Encourage the wife to voice her feelings about having a husband with Parkinson's disease. B. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism. C. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease. D. Compile a list of alternative medications that are effective in curing Parkinson's disease.

Correct Answer is C

Explanation

A. Encourage the wife to voice her feelings about having a husband with Parkinson's disease: While it is important to provide emotional support and encourage expression of feelings, this does not address her specific question about alternative or complementary cures.

B. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism: Referring to the neurologist may seem appropriate, but it avoids answering the wife’s concern directly.

C. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease: Parkinson’s is a progressive neurodegenerative disorder, and while medications and some therapies can manage symptoms, no cure currently exists. This response provides clear, evidence-based information and directly answers the wife’s question.

D. Compile a list of alternative medications that are effective in curing Parkinson's disease: No alternative or complementary medications have been proven to cure Parkinson’s disease. Providing such a list would give false hope and misinformation.

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When preparing to administer an intravenous medication through a client's triple lumen central venous catheter, the nurse observes that there are no continuous intravenous fluids infusing. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

The wife of a newly diagnosed client with Parkinson's disease asks the nurse if alternative or complimentary medical therapies might cure the disease. Which response should the nurse provide?

Correct Answer is C

Explanation

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