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Biology
University -
Professional Development
Central lines, TPN, PICC lines
14 questions
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- 1. Multiple Choice
The purpose of a Dacron Cuff in a Tunneled CVAD is to..... (select all that apply)
Support growth of tissue
Prevent CVAD dislodgement
Provide a barrier for disinfection
Provide a route for medication administration
- 2. Multiple Choice
When the patient's TPN solution runs out before the next bag is available, the nurse know to hang a solution of:
Normal saline
Ringer's lactate
A dextrose solution
0.45% NS
- 3. Multiple Choice
When the nurse suspects dislodgement of a CVAD, they would.... [select all that apply]
Stop the infusion
Notify the physician
Flush very gently with NS
Secure the catheter with tape
Anticipate an ultrasound of the site
- 4. Multiple Choice
The nurse suspects that the patient on TPN is experiencing hypoglycemia when she observes the patient..... [SATA]
Irritability
Increased thirst
Dry mouth
Pallor
Sweating
- 5. Multiple Choice
Your patient has a CVAD inserted on his right side. When he complains of sudden chest pain and increased heart rate, you suspect an air embolus, and position the patient:
HOB elevated 45 degrees
Head down on their left side
Head down on their right side
Supine on their left side
- 6. Multiple Choice
Your patient has a tunneled CVAD inserted on the right side. In this picture, what is the line with the blue label indicating?
Non-coring needle
Portal body
Dacron cuff
A lumen
- 7. Multiple Choice
Your patient is being discharged on an Implanted CVAD. Further teaching is indicated when the patient says:
"A non-coring needle is used to access it"
"I cannot swim or take showers with this in"
"Blood sampling can be obtained from it"
"Even when I'm not using it, it still needs to be flushed every 4 weeks"
- 8. Multiple Choice
The nurse is concern that her CVAD has become occluded. How might the nurse assess for this complication?
Listen for gurgling sounds
Assess patient's pain at the site
Check for local inflammation at insertion site
Check for blood return
- 9. Multiple Choice
Thrombosis is a complication of CVADs. Which of the following are signs/symptoms of thrombosis? Select all that apply.
Edema and tenderness in neck, shoulder, or arm of catheter insertion
Impaired movement of neck and jaw
Engorged peripheral veins in chest wall or arm
High white blood cell count
- 10. Multiple Choice
Any central line below the umbilicus is inserted into the heart via the:
Inferior vena cava
Superior vena cava
- 11. Multiple Choice
A patient on chemotherapy has a Tunneled Hickman CVAD inserted. Further teaching is indicated when the patient states:
"This device is used for long-term purposes"
"I must cover the Dacron cuff with a dressing when showering"
"I must immediately report any orange markings around the insertion site"
"I am aware that thrombosis, occlusion, and infection are all complications of this device"
- 12. Multiple Choice
Pinch-off Syndrome is a complication with CVADs. Which of the following describes Pinch-off Syndrome?
Constant movement of catheter in the vein causes the catheter to break down
Catheter is positioned between the first rib and clavicle, causing a mechanical occlusion
Sudden onset of systemic infection due to improper catheter placement
Catheter becomes permanently kinked due to improper patient positioning, causing a mechanical occlusion
- 13. Multiple Choice
These findings support are indicative of an air embolus: [select all that apply]
Chest pain
Cyanosis
Patient reports shortness of breath
Gurgling sound heard on auscultation
- 14. Multiple Choice
When caring for a patient on TPN, the nurse must: [select all that apply]
Treat TPN as a medication - do the 10 rights
Assess patient for signs of hypo- and hyperglycemia
Regularly assess patient's blood glucose levels
Assess patient for signs of dehydration
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