Author Question: The nurse is giving instructions to the family of a child who has a venous access device (VAD). This ... (Read 77 times)

@Brianna17 · **on:** Jun 27, 2018

The nurse is giving instructions to the family of a child who has a venous access device (VAD). This child's VAD is an external catheter. Which of the following instructions will the nurse give to the family?

a. Do not force-flush the catheter at any time, and call if any problems with flushing occur.
b. The catheter needs no special dressings or coverings.
c. The child is to avoid swimming and tub baths during the entire time the vascular access device is in place.
d. Trauma to the device is highly likely, and the child must be extremely careful in any activities.

Question 2

The nurse is working in an immunization clinic and is assessing the immunization records of the children presenting there to see what immunizations they need.

When the nurse finds a child who has not received a measles-mumps-rubella (MMR) booster or a tetanus, diphtheria and pertussis (DTaP) booster between ages 4 and 6, the nurse will tell the parents to have this booster or boosters given to their child at what age? a. 8 c. 11 to 12
b. 8 to 10 d. 13

Toya9913 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

Feedback
A Correct. The nurse gives the family instructions about not force-flushing the catheter at any time and call if any problems with flushing occur.
B Incorrect. An external catheter exit site requires sterile dressing changes performed on a schedule.
C Incorrect. The child can take tub baths or showers. The practitioner should be consulted before swimming which is usually prohibited. Swimming may be allowed in certain situations. If the exit site is healed and the cuff adheres to the tissue, a transparent dressing can be placed over the catheter and exit site, and swimming may be permitted for a limited time in a chlorinated pool.
D Incorrect. Trauma to the device is highly unlikely because of its location on the upper chest wall.

Answer to Question 2

C

Feedback
A Incorrect: This is not the correct age for the booster.
B Incorrect: This is not the correct age for the booster.
C Correct: When the nurse finds a child who has not received a measles-mumps-rubella (MMR) booster or a tetanus, diphtheria and pertussis (DTaP) booster between ages 4 and 6, the nurse will tell the parents to have this booster or boosters given to their child at ages 11-12 years.
D Incorrect: This is not the correct age for the booster.