A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, what action will the nurse take to relieve pain?

Correct Answer: B

Rationale: The correct answer is B: Place warm compresses on the site. Warm compresses help to increase blood flow, promote healing, and reduce pain and swelling in the affected area. By applying warm compresses to the site, the nurse can help to alleviate the client's pain and discomfort. Rationale for other choices: A: Administer topical lidocaine to the site - Topical lidocaine may help with numbing the area but may not address the underlying issue of pain, redness, and swelling. C: Administer prescribed oral pain medication - Oral pain medication may take time to take effect and may not provide immediate relief for the client's symptoms. D: Massage the site with scented oils - Massaging the site with scented oils can potentially irritate the skin further and does not address the client's symptoms effectively.

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: A

Rationale: The correct answer is A because the American Nurses Association (ANA) believes that it is the nursing profession itself that should have the authority to determine the scope of nursing practice. This principle emphasizes the importance of nursing professionals being actively involved in defining and regulating their own practice. Choice B is incorrect because while RNs may have a role in supervising unlicensed assistive personnel, it is not solely the responsibility of the RN to define and supervise the education and training of NAPs. Choice C is incorrect because ultimate responsibility and accountability for nursing practice lies with the licensed nurse, not the unlicensed NAP. Choice D is incorrect because the purpose of the RN is not just to work in a supportive role to assistive personnel; rather, it is to provide comprehensive nursing care and lead the nursing team.

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.