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CVAD MS Lab Exam 4 Questions With Complete Solutions

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CVAD MS Lab Exam 4 Questions With Complete Solutions

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CVAD MS Lab Exam 4 Questions With Complete Solutions

A CVAD with a guaze dressing should be changed how often?
Correct Answers every 48 hours

A CVAD with a transparent semipermeable membrane dressing
should be changed how often? Correct Answers every 5 to 7
days

A nurse in the emergency department is caring for a client who
was in a motor-vehicle crash. The provider determines that the
client needs immediate central venous access for fluid and blood
replacement. Which of the following central venous access
devices should the nurse anticipate being inserted?

A tunneled central catheter
An implanted port
A nontunneled percutaneous central catheter
A peripherally inserted central catheter Correct Answers A
nontunneled percutaneous central catheter

This type of central catheter is ideal for emergency situations
where short-term (less than 6 weeks) central venous access is
required for multiple therapies. This is the appropriate choice for
this client.

A nurse is caring for a client who has a central venous access
device in place. Which of the following routine interventions
should the nurse use to prevent lumen occlusion?

Apply a skin securement device to the catheter.

, Remove the dressing from the insertion site slowly and
carefully.
Use a pulsatile action while flushing.
Have the client lie flat when changing administration sets or
injection caps. Correct Answers Use a pulsatile action while
flushing.

Using a pulsatile action technique while flushing assists with the
prevention of occlusion by removing possible solid deposits
within the lumen.

A nurse is caring for a client who has a central venous catheter
and suddenly develops dyspnea, tachycardia, and dizziness. The
nurse suspects an air embolism and clamps the catheter
immediately. The nurse should reposition the client into which
of the following positions?

Supine with a pillow beneath the knees
On their left side in Trendelenburg position
Upright and leaning over the overbed table
On their right side with the head of the bed elevated 15° Correct
Answers On their left side in Trendelenburg position

This position helps trap the air in the apex of the right atrium
rather than allowing it to enter the right ventricle and, from
there, move to the pulmonary arterial system.

A nurse is caring for a client who has a central venous catheter.
When flushing the catheter, the nurse should use a 10-mL
syringe to prevent which of the following complications
associated with central vascular access devices?

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