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?
Correct
...
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.
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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.
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1 2104953589
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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.
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