Indications for devices
This is necessary for prolonged antibiotic therapy to be completed at home.
What is a PICC line
Change in external length indicates this.
What is catheter migration?
This should occur if a client reports pain at the IV site with no aspiration of blood upon flushing.
What stopping the IV
The three parts of the nursing diagnosis.
What is:
1. patient's problem or potential problem
2. causative or related factors
3. defining characteristics or signs and symptoms
The transfer of tasks to an individual who is competent in performing task is called this?
What is delegation?
This vein is often used for insertion of a PICC line.
What is the basilic vein
Aspiration for blood indicates this.
What is patency?
Dressing changes must be done using this on central access devices.
What is sterile technique?
Criteria for Expected Outcomes are:
What is: realistic, measurable, time framed, patient centered.
This type of intervention requires an order?
What is dependent?
This type of access is necessary to provide hydration to a dehydrated client.
What is a peripherally inserted catheter?
Signs and symptoms of phlebitis.
What is redness, fever, heat, swelling and drainage?
This should be changed when it is loose, soiled or damp or every seven days on a central access device.
What is a transparent semipermeable dressing?
Nursing interventions that do not need an MD order to perform.
What is: Independent nursing action.
This part of the care plan is based on scientific principles?
What is rationale for the interventions?
When delivering vesicant medication what types of access devices must be used.
What are Implanted ports, tunneled central venous catheters, non tunneled central venous catheters, PICC lines?
The use of a measuring tool is necessary to measure mid-arm circumference with these devices
What are midline catheters and PICC lines.
During the removal of a central venous access, the client holding their breath is a tool to prevent this.
Air embolism
What you do if expected outcomes do not meet actual patient outcomes.
What is: Revise the nursing care plan.
These interventions require the working together with other disciplines for the patient?
What are interdependent or collaborative interventions?
Commonly used in emergent situations for vascular access and only to be inserted by a healthcare provider
What is a nontunneled central venous catheter?
Feeling a cord-like structure along the vein could be an indicator of
What is thrombophlebitis?
A client can swim in the lake with this device.
What is an implanted access device or port.
This occurs as the P in "ADPIE" or planning
What is setting priorities, creating goals and expected outcomes that are patient-centered, and implementing nursing interventions that are patient specific?
First step in developing a nursing diagnosis
What is clues identified from client data collection?