ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 13 Questions
Question 1 of 5
A nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next?
Correct Answer: B
Rationale: A central venous access device, once placed, needs an x-ray confirmation of proper placement before it is used. The bedside nurse would be responsible for beginning the infusion once placement has been verified. Any IV solution can be given through a central line.
Question 2 of 5
A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
Correct Answer: D
Rationale: An intra-arterial catheter may cause arterial occlusion, which can lead to absent or decreased perfusion to the extremity. Assessment of an ulnar pulse is one way to assess circulation to the arm in which the catheter is located. The other assessments are relevant but secondary to ensuring circulation.
Question 3 of 5
A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: A properly placed PICC allows considerable freedom of movement, but heavy lifting, such as carrying a grandchild, can dislodge the catheter or occlude the lumen. A sling is not necessary, and flushing is typically done with heparin, not normal saline.
Question 4 of 5
A nurse is caring for a client who is having a subclavian central venous catheter inserted. The client begins to report chest pain and difficulty breathing. After administering oxygen, which action should the nurse take next?
Correct Answer: B
Rationale: Chest pain and dyspnea during subclavian catheter insertion suggest a pneumothorax, a serious complication requiring chest tube insertion. Nitroglycerin is inappropriate, and neither a sterile dressing nor Trendelenburg position addresses the pneumothorax.
Question 5 of 5
A nurse is caring for a client who is receiving an epidural infusion for pain management. Which assessment finding requires immediate intervention from the nurse?
Correct Answer: B
Rationale: Headache and stiff neck, especially with a fever, may indicate meningitis, a life-threatening complication of epidural therapy requiring immediate intervention. Redness, fever, and high pain levels are concerning but less urgent.