RNSG 1343 Complex Concepts of Adult Health Chapter 13 Evolve – Study Guide
& Practice Questions
Which condition indicates infiltration? - ANS ✔✔Leakage of no vesicant intravenous (IV)
solution into extravascular fluids
(Leakage of no vesicant IV solution into extravascular fluids is called infiltration. It occurs due to
obstruction of blood flow, causing back flow through the insertion site. Inflammation of the vein
is called phlebitis. It occurs due to improper insertion of the catheter and extreme pH and
osmolarity of the fluid medication. A blood clot inside the vein is called thrombosis. It occurs
due to a traumatic vein puncture or multiple vein puncture attempts. Leakage of vesicant IV
solution or medication into extravascular fluids is called extravasation. It is an inflammatory
process causing fluid leakage at the capillary level.)
Which catheter is preferred in emergency or trauma situations? - ANS ✔✔Nontunneled
percutaneous central venous catheters
(Nontunneled percutaneous central venous catheters are preferred in emergency or trauma
situations. An implanted port is used for patients who would require intravenous (IV) therapy
for more than a year. Midline catheters are used for therapies lasting from 1 to 4 weeks.
Tunneled central venous catheters are used primarily when the need for infusion therapy is
frequent and long term.)
Which complication is common in both thrombophlebitis and phlebitis? - ANS ✔✔Inflammation
Which central venous access device (CVAD) is indicated in patients who require IV therapy for
more than a year? - ANS ✔✔Implanted ports
(Implanted ports are a kind of central venous access device that is indicated in patients who
require long-term IV therapy for more than a year. Tunneled catheters are indicated in patients
who require weeks or months of infusion therapy or months of parenteral nutrition, where
, peripherally inserted central catheters are not a good choice. Nontunneled percutaneous
central venous catheters are used for trauma situations, critical care, and surgery and are used
for short durations.)
Which is a complication of intraosseous (IO) infusion therapy? - ANS ✔✔Osteomyelitis
(Osteomyelitis is the serious complication of IO therapy. Osteoporosis and osteogenesis are
contraindications to IO therapy. Osteoarthritis is not associated with IO therapy.)
Which central vascular access device (CVAD) is placed in arteries, epidural space, and the
peritoneal cavity? - ANS ✔✔Implanted ports
(Implanted ports are CVADs and may be placed in arteries, epidural spaces, and the peritoneal
cavities. Catheters may also be placed in arteries, epidural spaces, and the peritoneal cavities
but catheters are central venous catheters (CVCs). A tunneled CVT is placed inside the
subcutaneous tunnel. It is used in the venous systems. A peripherally inserted central catheter is
inserted through a vein of antecubital fossa or the middle of the upper arm. It is used in the
venous system. A nontunneled percutaneous central venous catheter is placed in a subclavian
vein of the chest or an internal jugular vein in the neck. It is used in venous systems.)
A patient receiving intravenous therapy reports tingling and numbness at the insertion site.
What could be the possible complication? - ANS ✔✔Nerve damage
(Tingling and numbness at the insertion site are the signs of nerve damage. Nerve damage is
due to vein puncture at or near the nerve location. Ecchymosis is the infiltration of blood into
the surrounding tissues. It may cause swelling, bruising, pain, or tenderness. Thrombosis is
characterized by swollen extremities and engorged veins of the ipsilateral chest. Venous spasms
are sudden vein contractions caused by vein irritation or injury. This condition causes cramping
or pain at the insertion site.)
What is the maximum flow rate of contrast injection for a "Power peripherally inserted central
catheter" ("Power PICC")? Record your answer using a whole number. - ANS ✔✔5 mL/sec
& Practice Questions
Which condition indicates infiltration? - ANS ✔✔Leakage of no vesicant intravenous (IV)
solution into extravascular fluids
(Leakage of no vesicant IV solution into extravascular fluids is called infiltration. It occurs due to
obstruction of blood flow, causing back flow through the insertion site. Inflammation of the vein
is called phlebitis. It occurs due to improper insertion of the catheter and extreme pH and
osmolarity of the fluid medication. A blood clot inside the vein is called thrombosis. It occurs
due to a traumatic vein puncture or multiple vein puncture attempts. Leakage of vesicant IV
solution or medication into extravascular fluids is called extravasation. It is an inflammatory
process causing fluid leakage at the capillary level.)
Which catheter is preferred in emergency or trauma situations? - ANS ✔✔Nontunneled
percutaneous central venous catheters
(Nontunneled percutaneous central venous catheters are preferred in emergency or trauma
situations. An implanted port is used for patients who would require intravenous (IV) therapy
for more than a year. Midline catheters are used for therapies lasting from 1 to 4 weeks.
Tunneled central venous catheters are used primarily when the need for infusion therapy is
frequent and long term.)
Which complication is common in both thrombophlebitis and phlebitis? - ANS ✔✔Inflammation
Which central venous access device (CVAD) is indicated in patients who require IV therapy for
more than a year? - ANS ✔✔Implanted ports
(Implanted ports are a kind of central venous access device that is indicated in patients who
require long-term IV therapy for more than a year. Tunneled catheters are indicated in patients
who require weeks or months of infusion therapy or months of parenteral nutrition, where
, peripherally inserted central catheters are not a good choice. Nontunneled percutaneous
central venous catheters are used for trauma situations, critical care, and surgery and are used
for short durations.)
Which is a complication of intraosseous (IO) infusion therapy? - ANS ✔✔Osteomyelitis
(Osteomyelitis is the serious complication of IO therapy. Osteoporosis and osteogenesis are
contraindications to IO therapy. Osteoarthritis is not associated with IO therapy.)
Which central vascular access device (CVAD) is placed in arteries, epidural space, and the
peritoneal cavity? - ANS ✔✔Implanted ports
(Implanted ports are CVADs and may be placed in arteries, epidural spaces, and the peritoneal
cavities. Catheters may also be placed in arteries, epidural spaces, and the peritoneal cavities
but catheters are central venous catheters (CVCs). A tunneled CVT is placed inside the
subcutaneous tunnel. It is used in the venous systems. A peripherally inserted central catheter is
inserted through a vein of antecubital fossa or the middle of the upper arm. It is used in the
venous system. A nontunneled percutaneous central venous catheter is placed in a subclavian
vein of the chest or an internal jugular vein in the neck. It is used in venous systems.)
A patient receiving intravenous therapy reports tingling and numbness at the insertion site.
What could be the possible complication? - ANS ✔✔Nerve damage
(Tingling and numbness at the insertion site are the signs of nerve damage. Nerve damage is
due to vein puncture at or near the nerve location. Ecchymosis is the infiltration of blood into
the surrounding tissues. It may cause swelling, bruising, pain, or tenderness. Thrombosis is
characterized by swollen extremities and engorged veins of the ipsilateral chest. Venous spasms
are sudden vein contractions caused by vein irritation or injury. This condition causes cramping
or pain at the insertion site.)
What is the maximum flow rate of contrast injection for a "Power peripherally inserted central
catheter" ("Power PICC")? Record your answer using a whole number. - ANS ✔✔5 mL/sec
