Author Question: For the insertion of a central line, the nurse places the client who has no contraindications in: ... (Read 27 times)

RYAN BANYAN · **on:** Jul 24, 2018

For the insertion of a central line, the nurse places the client who has no contraindications in:

A. Supine position
B. Side-lying position
C. Trendelenburg position
D. Semi-Fowler's position

Question 2

The government standards regarding mechanical and physical restraints identify that:

A. Alternative measures are to be implemented first
B. The nurse's judgment is all that is required for their implementation
C. Restraints should be used immediately for all clients who may need them
D. Restraints cannot be used except to prevent others from being harmed

chereeb · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. Step 1m. Nurse places client in Trendelenburg position and turns client's head away from site of insertion
A. Step 1a. Physician, with assistance of nurse, positions client flat in bed, lying supineopens angle between clavicle and first rib.

Answer to Question 2

A
A and C. The use of mechanical or physical restraints must be part of the prescribed medical treatment, all less restrictive interventions must be tried first, other disciplines must be used, and supporting documentation must be provided.
B. If the alternatives fail, the nurse may consider use of a restraint to prevent injury. Determine client's need for restraint if other less restrictive measures fail to prevent interruption of therapy or injury to self or others. Confer with physician or primary health care provider.
D. Restraints may be needed in the confused or combative client to prevent interruption of therapy or injury to self or others. Confer with physician or primary health care provider.