Which of the following patients would the nurse anticipate ...

[mikaylakyoung]

Which of the following patients would the nurse anticipate requiring the placement of a central venous catheter?
 
  a. A patient in same-day surgery who might require blood transfusions
  b. A patient in the intensive care unit requiring multiple simultaneous intravenous medications
  c. A patient in the cardiac care unit diagnosed with possible myocardial infarction
  d. A patient on the surgical unit recovering from hernia repair

Question 2

The nurse is caring for a patient with a chest tube connected to water-seal drainage. The nurse may delegate which of the following tasks to nursing assistive personnel (NAP)?
 
  a. Changing the chest tube drainage system
  b. Milking the chest tube
  c. Measuring chest tube output
  d. Turning and positioning the patient

[covalentbond]

Answer to Question 1

B
The most likely candidate for a central venous catheter is the patient in intensive care requiring the administration of multiple medications. The central venous catheter will simplify the administration of multiple medications to this critically ill patient. Because same-day surgery patients are expected to go home at the end of the day, it would be unlikely this patient would need a central catheter. A patient diagnosed with myocardial infarction would be unlikely to need a central line unless his condition deteriorated. A patient post hernia repair would be unlikely to require a central venous line unless complications arose, which is not indicated in this scenario.

Answer to Question 2

D
The NAP may turn and position the patient as long as the nurse ensures that the NAP understands how to manipulate the tubing safely and what signs and symptoms should be reported immediately. Care of the chest tube, including milking the tube if ordered, measuring chest tube output, and changing the chest tube drainage system, should never be delegated to unlicensed assistive personnel.