When assessing a patient with a central venous catheter, what is the priority nursing action?

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Question 1 of 5

When assessing a patient with a central venous catheter, what is the priority nursing action?

Correct Answer: A

Rationale: Assessing for signs of infection at the catheter insertion site is critical to prevent complications such as sepsis.

Question 2 of 5

What is the most important action for the nurse to take when caring for a client with a suspected fracture?

Correct Answer: D

Rationale: Assessing neurovascular status ensures adequate circulation and nerve function, preventing complications such as compartment syndrome.

Question 3 of 5

What is the priority nursing action when caring for a client with a suspected ectopic pregnancy?

Correct Answer: C

Rationale: Preparing for surgery is critical as ectopic pregnancy can lead to life-threatening hemorrhage if not promptly treated.

Question 4 of 5

The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color?

Correct Answer: B

Rationale: The red tag is assigned because the victim was not breathing initially but resumed breathing after airway repositioning, indicating a critical condition that requires immediate attention per the START method.

Question 5 of 5

The nursing faculty recognizes the correct way to instruct the nursing students to acknowledge their charting in a clients medical record is:

Correct Answer: D

Rationale: A nursing student enters full name, student nurse abbreviation(e.g., SN or NS), and educational institution.

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