Nurs 2873 Lab Questions With
Correct Answers
1. A patient with a right upper extremity CVC reports pain, swelling, and
tenderness of the extremity. No fluids are infusing through the catheter. The
nurse knows that these signs and symptoms may indicate which
CVC-associated complication?
Thrombophlebitis
2. Which action should the nurse take when changing a CVC dressing on a
diaphoretic patient?
D. Cover the catheter exit site with an occlusive gauze dressing.
3. Which nursing action reflects proper care of CVCs?
B. Change dressing if dressing is damp, loose, or soiled
4. The patient's CVC exit site demonstrates redness, drainage, and pain, and
he has a fever. The best nursing action would be to
B. Notify the practitioner and discuss further interventions to confirm
CLABSI.
5. A gauze dressing on a CVC exit site should be changed how often?
every 2 days
6. The nurse is providing teaching to a patient who has a new CVC. The nurse
should stress which teaching point?
,do not interfere with the dressing on the CVCD. The patient's exit site is red
and painful.
7. In a patient with a PICC, which condition would suggest phlebitis?
D. The patient's exit site has redness with pain.
*Signs of phlebitis, include pain, erythema, edema, ,streak formation, and a
palpable venous cord
8. What is the appropriate method for cleaning the catheter exit site of a
patient who has an allergy to chlorhexidine?
C. Dip swabs in a povidone-iodine solution and apply it to the skin in a
circular motion, working outward from the exit site in concentric circles.
9. The dressing of a CVC exit site is damp, but it is not due to be changed for
3 days. Which is the appropriate action?
C. Change the dressing now.
10. To remove the soiled dressing from a client's CVC site, the nurse should
do which of the following?
remove the catheter securing device
1. In preparing to put on sterile gloves, what would the nurse do first?
C. Check the packaging of the gloves for dampness or rips.
We have a complete professional answer to this question!
2. For which of the following would you use sterile nonlatex gloves for a
sterile procedure?
A. When sensitivity may be an issue
, 3. Which of the following best describes the most important action that can
be taken by the nurse to reduce the risk of ripping a sterile glove while
donning onto the hands?
choosing the appropriate glove size
4. A patient states that she is uncomfortable and would like to turn to her left
side after the nurse has applied sterile gloves. Which of the following is the
best action by the nurse to maintain sterility of the gloves while the NAP
positions the patient for a sterile dressing change?
A. By interlocking the fingers and maintaining the hands above the waist
level
5. Which of the following protocols does not vary from one facility to
another?
C. Wearing sterile gloves for sterile procedures
1. Which of the following is a correct statement the nurse can use with NAP
while caring for a patient with a dressed central venous access device site?
C. "Inform me immediately if the patient's dressing becomes wet".
2. The nurse would do which of the following to minimize the patient's risk
for infection when performing a dressing change on a CVAD?
A. Use sterile technique throughout the process.
3. In removing a dressing, how can the nurse minimize the risk of dislodging
the catheter?
B. Remove the transparent dressing or tape and gauze in the direction of
catheter insertion.
Correct Answers
1. A patient with a right upper extremity CVC reports pain, swelling, and
tenderness of the extremity. No fluids are infusing through the catheter. The
nurse knows that these signs and symptoms may indicate which
CVC-associated complication?
Thrombophlebitis
2. Which action should the nurse take when changing a CVC dressing on a
diaphoretic patient?
D. Cover the catheter exit site with an occlusive gauze dressing.
3. Which nursing action reflects proper care of CVCs?
B. Change dressing if dressing is damp, loose, or soiled
4. The patient's CVC exit site demonstrates redness, drainage, and pain, and
he has a fever. The best nursing action would be to
B. Notify the practitioner and discuss further interventions to confirm
CLABSI.
5. A gauze dressing on a CVC exit site should be changed how often?
every 2 days
6. The nurse is providing teaching to a patient who has a new CVC. The nurse
should stress which teaching point?
,do not interfere with the dressing on the CVCD. The patient's exit site is red
and painful.
7. In a patient with a PICC, which condition would suggest phlebitis?
D. The patient's exit site has redness with pain.
*Signs of phlebitis, include pain, erythema, edema, ,streak formation, and a
palpable venous cord
8. What is the appropriate method for cleaning the catheter exit site of a
patient who has an allergy to chlorhexidine?
C. Dip swabs in a povidone-iodine solution and apply it to the skin in a
circular motion, working outward from the exit site in concentric circles.
9. The dressing of a CVC exit site is damp, but it is not due to be changed for
3 days. Which is the appropriate action?
C. Change the dressing now.
10. To remove the soiled dressing from a client's CVC site, the nurse should
do which of the following?
remove the catheter securing device
1. In preparing to put on sterile gloves, what would the nurse do first?
C. Check the packaging of the gloves for dampness or rips.
We have a complete professional answer to this question!
2. For which of the following would you use sterile nonlatex gloves for a
sterile procedure?
A. When sensitivity may be an issue
, 3. Which of the following best describes the most important action that can
be taken by the nurse to reduce the risk of ripping a sterile glove while
donning onto the hands?
choosing the appropriate glove size
4. A patient states that she is uncomfortable and would like to turn to her left
side after the nurse has applied sterile gloves. Which of the following is the
best action by the nurse to maintain sterility of the gloves while the NAP
positions the patient for a sterile dressing change?
A. By interlocking the fingers and maintaining the hands above the waist
level
5. Which of the following protocols does not vary from one facility to
another?
C. Wearing sterile gloves for sterile procedures
1. Which of the following is a correct statement the nurse can use with NAP
while caring for a patient with a dressed central venous access device site?
C. "Inform me immediately if the patient's dressing becomes wet".
2. The nurse would do which of the following to minimize the patient's risk
for infection when performing a dressing change on a CVAD?
A. Use sterile technique throughout the process.
3. In removing a dressing, how can the nurse minimize the risk of dislodging
the catheter?
B. Remove the transparent dressing or tape and gauze in the direction of
catheter insertion.
