NCLEX-PN

For central line placement : ●​ Position the client.

●​ Insert the catheter over a guide wire. * ●​ Confirm proper placement with X-ray. * ●​ Apply a sterile dressing.

●​ Prep the site with betadine. * ●​ Cover the area with a sterile fenestrated drape. * ●​ Administer local anesthetic. *

For chest tube insertion : ●​ Position the client.

●​ Insert the chest tube. * ●​ Connect it to the drainage system. * ●​ Apply a sterile dressing.

●​ Prep the site with betadine. * ●​ Cover the area with a sterile fenestrated drape. * ●​ Administer local anesthetic. * For spinal taps (lumbar punctures): ●​ Position the client. ●​ Prep the site with betadine. ●​ Cover the area with a sterile fenestrated drape. * ●​ Administer local anesthetic. * ●​ Insert the needle into the lowest vertebrae. *

●​ Withdraw cerebrospinal fluid. * ●​ Place the client in a flat position. ●​ Label and transport the specimen. ●​ Apply a sterile dressing.

In summary, nurses assume a multifaceted role encompassing education on health problem management and participation in various invasive medical procedures, ensuring comprehensive care and client well-being. Providing Care for Clients Receiving Dialysis Renal dialysis is a crucial treatment that removes waste products and excess fluids from the body while also maintaining the body's pH balance. It's commonly used for individuals with end-stage renal failure, but it can also be employed in temporary situations, such as treating complications like septic shock, tumor lysis syndrome, or acute kidney injury. Nurses play a vital role in caring for clients undergoing dialysis, and this care spans before, during, and after the dialysis procedure, often in collaboration with certified dialysis technicians.

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