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PCN Tube Placement Quiz

Total questions: 32

Worksheet time: 2hrs 36mins

Name
Class
Date
1.

When is PCN tube placement considered the procedure of choice?

4 lines
2.

What are the advantages of PCN drainage?

4 lines
3.

What are the characteristics of an ideal nephrostomy tube?

4 lines
4.

What are the characteristics of a pigtail catheter?

4 lines
5.

What is the advantage of a Malecot catheter?

4 lines
6.

In what instances can a tamponade catheter be specifically useful?

4 lines
7.

What are some frequently reported minor complications of nephrostomy tube insertion?

4 lines
8.

What is the reported occurrence rate of sepsis in patients after nephrostomy tube insertion?

4 lines
9.

What is the reported transfusion rate due to venous or arterial bleeding after nephrostomy tube insertion?

4 lines
10.

What is the recommended treatment for persistent arterial bleeding or arteriovenous fistula after nephrostomy tube insertion?

4 lines
11.

What are some late complications of nephrostomy tube placement?

4 lines
12.

What is the reported occurrence rate of nephrostomy tube dislodgement in patients?

4 lines
13.

What can aid in preventing tube dislodgement after nephrostomy tube insertion?

4 lines
14.

What is implicated as a contributing factor to the increased occurrence of major complications during on-call hours?

4 lines
15.

What is the recommended number of PCNs per year to improve the success rate of the procedure?

4 lines
16.

What is the first step in patient positioning for nephrostomy tube insertion?

4 lines
17.

What is the alternative position for nephrostomy tube insertion in case of relative contraindication to the prone position?

4 lines
18.

What is the recommended area cleansing agent before the nephrostomy tube insertion procedure?

4 lines
19.

What are the limits of the quadrangle of safety for placing PCN to reduce the chances of associated intrabdominal visceral injuries?

4 lines
20.

What is the next step after surface marking in the nephrostomy tube insertion procedure?

4 lines
21.

What is the puncture technique used in the nephrostomy tube insertion procedure?

4 lines
22.

What is the diameter of the guide wire used in the nephrostomy tube insertion procedure?

4 lines
23.

What is the recommended position for the patient during the nephrostomy tube insertion procedure?

4 lines
24.

What is used to incise the tract during the nephrostomy tube insertion?

4 lines
25.

How is the tract dilated during the procedure?

4 lines
26.

What should be avoided during the tract dilatation?

4 lines
27.

What type of catheter is generally preferred as a nephrostomy tube?

4 lines
28.

Why is the 14 F Malecot catheter preferred as a nephrostomy tube?

4 lines
29.

How is the nephrostomy tube inserted over the guide wire?

4 lines
30.

What should be appreciated under fluoroscopy guidance once the Malecot catheter inner occluder is opened?

4 lines
31.

How is the final position of the Malecot catheter confirmed?

4 lines
32.

What should be done at the end to confirm decompression of pelvic calyceal system and the position of the nephrostomy tube?

4 lines