Central Venous Access Devices Quiz

Which device is typically inserted into the basilic or cephalic vein with the tip in the superior vena cava (SVC) and is used for long-term antibiotics, cancer with chemotherapy, and blood sampling?

• Short Peripheral Catheters (SPC)

• PICC

• Midline Catheter

• Central line

What is a common contraindication for using a Midline Catheter?

• Vesicants, TPN, chemo, long-term therapy

• TPN, vesicant meds, solutions < 500 mOsm/L

• CKD-future fistula, currently implanted defibrillator or pacemaker

• Subq+ fibrous tissue hold “cuff” in place

Nora, a nurse, is caring for a patient with an implanted port. The port is currently not in use. What is the correct procedure for Nora to follow when de-accessing the port?

• Flush with saline every day, use sterile technique

• De-access with 500 ml heparin, flush per policy, use once per month if not in use

• Remove the port immediately after use, hold pressure with sterile dressing

• Use a standard needle for access

Which of the following is a sign or symptom of infiltration during IV therapy?

• Burning, stinging, redness, blistering

• Pain, swelling, redness, cool to touch

• Fever, chills, erythema, drainage at site

• Chest pain, dyspnea, tachycardia

What is the recommended needle size for IV therapy in pediatric and geriatric patients with fragile veins?

• 16-18 G

• 18-20 G

• 24-26 G

• 20 G

A patient receiving IV therapy develops localized redness, pain, and swelling that is hot to the touch at the site. What complication is most likely occurring, and what should be the priority action?

• Infiltration; Stop the infusion

• Phlebitis; Stop the infusion

• Catheter rupture; Call MD

• Air embolism; Trendelenburg position

If a catheter tip shifts from the superior vena cava, which of the following symptoms might you observe?

• Needle longer than previous shift

• Gurgling, pain in ear, jaw, shoulder

• Sluggish blood return, swelling of limb/neck

• Pain, inflammation, swelling

A nurse is preparing to change the tubing for a patient receiving continuous IV fluids. According to guidelines, what is the maximum time the tubing can be used before it must be replaced?

• 24 hours

• 48 hours

• 72-96 hours, max 4 days

• 12 hours

Which intravenous fluid is indicated for hydration and keeping the vein open (KVO)?

• Isotonic 0.9% NS

• Liposyn (isotonic)

• Hypotonic 0.45% NS

• Hypertonic 3% NS

What is a major complication associated with the administration of Isotonic 0.9% NS?

• Fluid overload

• Hyperkalemia

• Hypoglycemia

• Anemia