A nurse is caring for a client who has just had a central venous access line inserted. What action will the nurse take next?

Correct Answer: B

Rationale: The correct answer is B. Ensuring that an x-ray is completed to confirm placement is crucial after the insertion of a central venous access line to verify proper positioning within the vein and rule out potential complications such as pneumothorax. This step is essential for patient safety before any infusion is initiated. Checking medication calculations with a second RN (Choice C) is important for medication safety but not the immediate next step. Beginning the prescribed infusion (Choice A) without confirming placement can lead to serious complications. Ensuring the solution is appropriate for a central line (Choice D) is important but not the immediate priority.

Correct Answer: C

Rationale: Continuity of care refers to seamless coordination and transition of care across different healthcare settings for a patient. Choice C, facilitating transition between settings, best describes this concept. It ensures that a patient receives consistent and uninterrupted care as they move from one healthcare setting to another. Choice A focuses on acute care in a specific setting, not on continuity. Choice B is too narrow in scope, as continuity of care is not limited to serving only children. Choice D refers to providing care for a single episode, which does not capture the holistic and continuous nature of continuity of care.

Correct Answer: C

Rationale: The correct answer is C: Have the wife demonstrate the procedure. This is the best way to ensure understanding and competence. By having the wife demonstrate the dressing change, the nurse can assess her actual skills and correct any misunderstandings in real-time. Merely telling her (choice A) may not guarantee comprehension. Providing information about supplies (choice B) is important but does not assess the wife's ability to perform the task. Asking another nurse to reinforce teaching (choice D) does not directly assess the wife's understanding and ability to perform the dressing change.

Correct Answer: B

Rationale: The correct answer is B: A. Jones, RN. This format includes the nurse's full last name, first initial, and the nursing credential "RN." This is important for clarity and accuracy in documentation. Option A lacks the full last name, option C lacks the credential, and option D is an incorrect and non-standard format. By following the correct format in option B, Alice can clearly identify herself and maintain professional standards in documentation.

Correct Answer: D

Rationale: The correct answer is D: graphic record. Graphic records are commonly used to document specific patient variables like vital signs as they provide a visual representation of these data over time. This format allows for easy tracking and comparison of trends. Progress notes (A) typically focus on a patient's overall progress and response to treatment, rather than specific variables like vital signs. Nursing notes (B) may include observations and assessments but are not typically used for detailed recording of vital signs. Critical paths (C) are used to outline a patient's expected course of treatment and milestones, not for recording specific patient variables. Therefore, the graphic record is the most appropriate choice for documenting specific patient variables such as vital signs.