Author Question: A 15-year-old adolescent has been recently diagnosed with cancer. The patient will be receiving IV ... (Read 22 times)

vicky · **on:** Jul 22, 2018

A 15-year-old adolescent has been recently diagnosed with cancer. The patient will be receiving IV chemotherapy for several weeks. Which vascular access device should be used for short-term administration of his IV fluid?

a. Implanted port
b. Peripherally placed IV catheter
c. Central line
d. Peripherally inserted central catheter

Question 2

In an outpatient surgery center, the preoperative nurse has the responsibility of starting IVs prior to the patients' surgeries. One of the surgeons who works at the center orders a different type of IV fluid than the rest of the surgeons.

Which of the following should the nurse be most con-cerned about in this situation? a. Procedure-related accident
b. Patient-inherent accident
c. Patient confusion from medications
d. Potential electrolyte imbalance

bbburns21 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Peripheral catheters are for short-term use (e.g., to restore fluid volume). Devices for long-term use include central lines, peripherally inserted central catheters (PICCs), and implanted ports. These devices are more effective than peripheral catheters for administering PN and medications and solutions that are irritating to veins.

Answer to Question 2

A
Procedure-related accidents are caused by health care providers and include medication and fluid administration errors, improper application of external devices, and improper performance of procedures such as dressing changes. Following an organization's policies and procedures and standards of nursing practice helps prevent procedure-related accidents. Patient-inherent acci-dents are those in which a patient is the primary reason for the accident. The primary issue is a procedure-related accident because of the surgeon's use of a different type of IV, which could cause the nurse to improperly administer the medication; it is not an electrolyte imbalance or confusion. Electrolyte imbalance and confusion from medications are all potential issues that are out of the nurse's control.