Caring for Central Vascular Access Device (CVAD) Questions And Answers Verified 100% Correct!!

Which of the following patients may benefit from a long-term vascular access device? (Select all that apply.) - - A patient who is expected to require intravenous (IV) antibiotics for more than 7 days for a severe respiratory infection. - A patient who will be managed at home for end-stage cancer with a continuous infusion of opioids for pain. - A patient who is having major abdominal surgery and will require TPN administration. - A patient who requires frequent long-term phlebotomy (blood draws) in the treatment of polycythemia. Choose the supplies the nurse will need to perform a dressing change of a central vascular access device (CVAD). (Select all that apply.) - - Sterile gloves. - Clean gloves. - Antimicrobial swabs. - Transparent or gauze dressing (and tape). - Mask(s). Because the patient's central vascular access device is used intermittently for fluid administration, the nurse flushes the infusion port with a 3-mL syringe filled with heparin flush solution to maintain patency. What action made by the nurse was incorrect? - The nurse used a 3-mL syringe during the catheter flushing. What is the purpose of the heparin flush solution in regard to care of a vascular access device? - To maintain patency by reducing the incidence of clot formation. The nurse is sampling blood from an implanted venous port to be followed with a continuous IV infusion. Assuming all other steps are performed correctly, which of the following would require correction? - The nurse inserts the noncoring needle through the skin at a 45-degree angle and pushes down firmly until the needle hits the bottom of the portal chamber. Match the catheter description to the type of central vascular access device. - - Peripherally inserted central catheter: Inserted in antecubital space with distal end advanced into the central circulation- Tunneled central vascular access device: Inserted first through subcutaneous tissue, then into a large vein and threaded into the distal end of the superior vena cava - Percutaneous central vascular access device: Inserted directly through the skin into a large vein - Implanted venous port: Requires a noncoring needle to access device Match the correct preventive measure to the potential complication of a vascular access device. - - Avoid trauma; avoid placement near site of local disease: Catheter migration - Do not leave catheter hub open to air; engage clamps if appropriate for device: Air embolism - Follow routine flushing with positive pressure; flush between medications: Occlusion - Use strict hand hygiene and aseptic technique: Infection - Use needleless system to access port: Catheter damage, breakage A patient with a CVAD suddenly develops dyspnea, tachycardia, and hypotension. Into which position should the nurse place the patient? - On left side with head down