A client that a nurse anticipates to be a candidate for a ...

[brutforce]

A client that a nurse anticipates to be a candidate for a peripherally inserted central catheter (PICC) is:
 
  A. An older adult having cataracts removed
  B. A perinatal client having a prolonged labor
  C. A neonate requiring extended antibiotic therapy
  D. An adolescent having surgery for the reduction of a fracture

Question 2

Bleeding is noted around a dressing at an IV insertion site. A nurse should:
 
  A. Discontinue the IV
  B. Assess the insertion site
  C. Leave the dressing intact, but reinforce it
  D. Elevate and apply warm compresses to the extremity

[iceage]

Answer to Question 1

C
C. When child is critically ill or long-term IV access is anticipated, PICC catheter, Broviac catheter, or implanted port may be used to access larger vein. PICCs can be used to infuse IV fluids, parenteral nutrition, blood and blood products, and medications such as antibiotics.
A. Veins of older adults are very fragile, there is less subcutaneous support tissue, and there is thinning of the skin. In older clients, use the smallest gauge possible. For example, a 22-gauge needle is adequate for fluid and medication therapy.
B and D. PICCs are used for long-term IV need.

Answer to Question 2

B
B. When blood appears on the dressing, verify that the system is intact and change the dressing.
A. Infiltration at site is indicated by swelling and possible pitting edema, pallor, coolness, pain at insertion site, possible decrease in flow rate. Stop infusion and discontinue IV.
C. If bleeding occurs around venipuncture site and catheter is within vein, gauze dressing may be applied over site. Be aware that if gauze dressing is used, it must be removed to accurately assess insertion site
D. Infiltration at site is indicated by swelling and possible pitting edema, pallor, coolness, pain at insertion site, possible decrease in flow rate. Stop infusion and discontinue IV. Elevate affected extremity.