Family Centered Approach to Nursing Care Related

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You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client?

  • A. A percutaneous, non tunneled subclavian catheter
  • B. A peripheral intravenous catheter that is 20 gauge
  • C. A multi lumen implanted tunneled and cuffed central venous catheter
  • D. A peripherally inserted central venous catheter
Correct Answer: C

Rationale: A tunneled multi-lumen catheter (C) suits long-term critical needs.