A nurse inadvertently partially dislodges a PICC line when ...

[MirandaLo]

A nurse inadvertently partially dislodges a PICC line when changing the dressing. What would be the appropriate intervention in this situation?
 
  A) Swab the line with sterile saline and gently reinsert the line.
  B) Sedate the client, remove the PICC line, and then notify the physician.
  C) Set up a sonogram for the client to determine the end point of the line.
  D) Reapply the dressing and notify the physician for further instructions.

Question 2

The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is which of the following?
 
  A) Fluid volume deficit
  B) Myocardial Infarction
  C) Fluid volume excess
  D) Atelectasis

[Shshxj]

Answer to Question 1

Ans: D
When a PICC line is not all the way out, the nurse should notify the physician. The physician will most likely order a chest x-ray to determine where the end of the PICC line is. A dressing should be reapplied before the chest x-ray, to prevent further dislodgement.

Answer to Question 2

Ans: C
A common cause of fluid volume excess is failure of the heart to function as a pump, resulting in accumulation of fluid in the lungs and dependent parts of the body. Fluid volume deficit does not manifest itself as edema and abnormal lung sounds, but results in poor skin turgor, sunken eyes, and dry mucous membranes. Atelectasis is a collapse of the lung and does not have to do with fluid abnormalities. Myocardial infarction results from a blocked coronary artery and may result in heart failure, but is not a term for fluid volume excess.

[MirandaLo]

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[Shshxj]

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