Med-Surg Iv Therapy Exam 2022

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The nurse is teaching a hospitalized patient who is being discharged about how to care for a peripherally inserted central catheter (PICC) line. Which patient statement indicates a need for further... education? Correct1 "I can continue my 20-mile running schedule as I have for the past 10 years." 2 "I can still go about my normal activities of daily living." 3 "I have less chance of getting an infection because the line is not in my hand." 4 "The PICC line can stay in for months." Excessive physical activity can dislodge the PICC and should be avoided. Patients with PICCs should be able to perform normal activities of daily living. PICCs have low complication rates because the insertion site is in the upper extremity. The dry skin of the arm has fewer types and numbers of microorganisms, leading to lower rates of infection. PICC lines can be used long-term (months). Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when four or five consecutive questions have the same letter or number for the correct answer. 83%of students nationwide answered this question correctly. View Topics 1 2104953532 Confidence: Pretty sure Stats Issue with this question? 2. A severely dehydrated patient requires a rapid infusion of normal saline and needs a midline IV placed. Which staff member does the emergency department (ED) charge nurse assign to complete this task? 1 RN who is certified in the administration of oral and infused chemotherapy medications 2 RN with 2 years of experience in the ED who is skilled at insertion of short peripheral catheters 3 RN with 10 years of experience on a medical-surgical unit who has cared for many patients requiring IV infusions Correct4 RN with certified registered nurse infusion (CRNI) certification who is assigned to the ED for the day The nurse with CRNI certification is most likely to be able to quickly insert a midline catheter for a patient who is dehydrated. The chemotherapy nurse and the ED nurse have the appropriate scope of practice, but will not be as skilled in inserting a midline IV catheter. The medical-surgical nurse may be skilled at inserting short peripheral catheters, but will not be skilled in inserting midline IV catheters. 80%of students nationwide answered this question correctly. View Topics 1 2104953589 Confidence: Pretty sure Stats Issue with this question? 3. Which type of intravenous therapy-acquired infection is most responsible for increased death rates? 1 Peritoneal 2 Meningeal 3 Joint Correct4 Catheter-related bloodstream The Institute for Health Care Development identified catheter-related bloodstream infections (CR-BSI) as a severe hospital-acquired infection responsible for about 28,000 deaths per year. Hand hygiene of hospital staff and selection of the appropriate infusion site can reduce the risk of CR-BSI to a greater extent. Peritonitis is the inflammation and infection of the peritoneum, usually acquired in the hospital by peritoneal administration of medications. Meningitis is the inflammation of the meninges and can be caused in the hospital by the intraspinal administration of medications. Joint infection can be caused when medications are administered into a joint cavity. 82%of students nationwide answered this question correctly. View Topics [Show More]

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