Author Question: The nurse is teaching a client about the central venous catheter (CVC) that will be inserted to ... (Read 29 times)

bio_gurl · **on:** Jul 23, 2018

The nurse is teaching a client about the central venous catheter (CVC) that will be inserted to provide total parenteral nutrition (TPN). Which statements by the client indicate the need for further education?

Standard Text: Select all that apply.
1. The CVC will be located in the superior vena cava.
2. The CVC will need to be rotated every few days to prevent infection.
3. A CVC is being inserted because I need long-term TPN.
4. You will deliver the TPN by gravity through the CVC.
5. My subclavian vein will be used for the insertion of the CVC.

Question 2

The nurse is administering an enteral feeding to a client in a comatose state. The nurse elevates the head of the bed to 30 degrees and leaves it elevated for _____ minutes to decrease the risk of aspiration.

Standard Text: Record your answer rounding to the nearest whole number.
What will be an ideal response?

bigsis44 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2,4
Rationale 1: This statement is correct.
Rationale 2: Peripheral venous catheters are rotated every few days to decrease the risk for infection.
Rationale 3: This statement is correct.
Rationale 4: TPN is administered with an infusion pump, not by gravity.
Rationale 5: A central vein, such as the subclavian or the internal jugular vein, is often utilized for the insertion of a CVC.
Global Rationale: CVC catheters are not rotated every few days. TPN is always administered with an infusion pump, not by gravity. The remaining statements are accurate.

Answer to Question 2

Correct Answer: 30
Rationale: The head of the bed should be elevated at least 30 degrees during the administration of the feeding and should remain elevated for at least 30 minutes after the feeding to decrease the risk of aspiration.
Global Rationale: The head of the bed should be elevated at least 30 degrees during the administration of the feeding and should remain elevated for at least 30 minutes after the feeding to decrease the risk of aspiration.