how should a nurse care for a patient with a central venous catheter
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Nursing Elites

ATI LPN

ATI PN Comprehensive Predictor 2023 Quizlet

1. How should a healthcare professional care for a patient with a central venous catheter?

Correct answer: A

Rationale: Corrected Rationale: Regular monitoring for infection and dressing changes are essential aspects of caring for a patient with a central venous catheter. Infections are a significant risk with these catheters, so vigilant monitoring and timely dressing changes help prevent complications. Choice B is important too, but ensuring catheter patency and flushing are more focused on maintaining the functionality of the catheter rather than infection prevention. Choice C is also important for patient education, but the immediate concern for a healthcare professional is monitoring and preventing infections related to the catheter. Choice D is not directly related to the care of a central venous catheter.

2. A client who is postpartum is being taught about breast care by a nurse. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: B

Rationale: The correct answer is B. Nursing the baby frequently helps prevent engorgement and discomfort in breastfeeding mothers. Choice A is incorrect because tight-fitting bras can lead to clogged milk ducts and worsen discomfort. Choice C may lead to oversupply issues and is not necessary unless there is a specific indication. Choice D is incorrect as avoiding nursing for extended periods can lead to engorgement and decreased milk supply.

3. What are the nursing interventions for a patient with fluid volume overload?

Correct answer: A

Rationale: The correct nursing intervention for a patient with fluid volume overload is to restrict fluid intake. This helps to prevent further fluid accumulation in the body. Monitoring intake and output (choice B) is important to assess the patient's fluid balance but is not a direct intervention to address fluid volume overload. Administering diuretics as prescribed (choice C) is a medical intervention that may be ordered by a healthcare provider but should not be assumed as a nursing intervention without a prescription. Elevating the head of the bed (choice D) is a measure commonly used for patients with respiratory distress or to prevent aspiration but is not a direct intervention for fluid volume overload.

4. What is the first step in managing a client with delirium?

Correct answer: B

Rationale: The correct first step in managing a client with delirium is to identify any reversible causes of delirium. This is crucial because addressing the underlying cause can help in resolving delirium more effectively. Administering sedative or antipsychotic medications without addressing the root cause may not be helpful and can even worsen the condition. Limiting environmental stimulation, although important, is not the primary step in managing delirium.

5. A healthcare professional is reviewing the medical record of a client who has a prescription for levothyroxine. Which of the following findings should the healthcare professional identify as an indication of a need for dosage adjustment?

Correct answer: B

Rationale: Increased appetite may indicate that the client is experiencing symptoms of hyperthyroidism due to an excessive dose of levothyroxine. This finding suggests a need for a dosage adjustment to prevent potential complications. Tremors are more commonly associated with hyperthyroidism, not necessarily indicating a need for dosage adjustment. Bradycardia and diarrhea are not typical signs of an incorrect levothyroxine dosage and would not directly warrant a need for adjustment.

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