The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?

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Question 1 of 5

The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?

Correct Answer: C

Rationale: Dyspnea requires immediate attention during central venous catheter placement. It suggests pneumothorax or air embolism, per critical care standards. Pallor , fever , and spasms are less urgent. C addresses a potentially fatal complication.

Question 2 of 5

Which approach is the best way to prevent infections when providing care to clients in the home setting?

Correct Answer: A

Rationale: Handwashing before and after examination is the best way to prevent infections in home care. It's the cornerstone of infection control, per CDC guidelines, reducing pathogen spread. Gloves , barriers , and masks supplement but handwashing is primary. A ensures universal protection.

Question 3 of 5

If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?

Correct Answer: C

Rationale: Prevents bleeding from the site; pressure is the immediate priority to control hemorrhage.

Question 4 of 5

A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be

Correct Answer: C

Rationale: Assessing capillary refill checks for compartment syndrome, a priority before other interventions.

Question 5 of 5

A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a primary effect of this combination?

Correct Answer: A

Rationale: Combining acetaminophen and codeine enhances analgesia through synergistic effects.

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