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WorksheetsCVADS & TPN
Total questions: 16
Worksheet time: 7mins
What is the vein of choice for peripherally inserted central catheter (PICC) insertion?
basilic
median
external jugular
cephalic
Confirmation of PICC tip placement and adequacy in insertion is achieved by:
successful infusion of 0.9% saline
visual blood return
Chest X-ray
measurement of catheter length from point of insertion
Which is NOT an example of a CVAD? select all that apply
CVC
PICC
PIVC
Portacath
When a central line is flushed, at least 10 ml of 0.9 % NS should be instlled with
a slow , smooth push of irrigant
a rapid forceful and continual push of irrgant
a rapid succession of push-pause movement
The catheter tip position desired for picc line is
SVC
Axillary of the subclavian vein
IVC
the axillary vein
Which of the following is an indication for use of central venous catheter? Choose 3
routine isotonic maintenance fluid infusions in the stable patient in an acute care setting
for infusion of medications that are damaging to the veins
for administration of infusions in the critical care setting
for long term outpatient infusion therapy
When a venous access device is suitable for long term use and involves the insertion of a device placed entirely subcutaneously in the patient it is a.................
centrally implanted port
peripheral IV line
centrally inserted venous catheter
peripherally inserted venous catheter
What is the purpose of using heparin to flush and lock a central or peripheral central catheter
it prevents infection
it prevents phlebitis
it prevents an embolism
it prevents thrombus formation
Why would the tip of the central catheter need to remain outside the RA. Select all that apply
traversing the SA node could cause arrhythmia
migration into the tricuspid valve could cause valvular damage
termination in the RV could cause the tricuspid valve to remain open and cause for fluid retention
termination of the line in the RA could cause pericarditis
Which complication of central line placement is due to break in aseptic technique.
Select all that apply.
hemothorax
and
catheter Embolus
pulmonary edema
and
air embolism
sepsis
local infection
Should an air embolism be suspected in the patient. how should the nurse respond?
Apply 02 to the patient and monitor Vital Signs for 1 hour, watch for improvement
Place the patient in high fowlers position, apply oxygen and monitor Vital signs
Place the patient in left trendelenburg position, apply 02, vital signs and notify the physician immediately
Lay the patient supine and clamp the central line catheter and notify the doctor
Total parenteral Nutrition (TPN) is used for ? select 3
Maintains the body's growth, development and tissue repair
Intravenous nutritional support
Supplies glucose, protein, vitamins, electrolytes, trace elements and fats
Patient refusing to eat, first line of treatment
When should the dressing covering a central or peripheral central catheter be changed?
Select 3 that apply.
when it is loose and not adhering
when it is wet
when it is visibly soiled
every 14 days
Which of the statements are true in the care of a CVAD?
Select 2
The EN is to have knowledge of the device and potential complications to observe
The EN is to observe and report changes, problems or concerns with these devices to the RN
Student EN are not allowed by law to manipulate central lines
The student EN may administer and perform maintenance on the devices without RN
Cytotoxic materials are universally identified by what colour symbol?
Yellow
Red
Purple
Blue
Exposure to hazardous drugs can occur through:
skin absorption
inhalation of aerosols and drug particles
ingestion from contaminated food or drink or other hand to mouth contact
mucosal absorption
needle stick injuries.
True
False
