NURS 3270 Fundamentals Evolve -- Mod 9 Questions With
Complete Solutions
A patient is to begin chemotherapy and there is discussion
regarding placement of a CVAD. Which statement requires
correction?
A. The tunneled CVAD and implanted venous port are
considered permanent.
B. Implanted venous ports should be flushed monthly with 3-5
mL heparin (100 units/mL) to maintain patency.
C. Medications that are incompatible may be administered
through different lumens of the same CVAD.
D. An implanted venous port and a percutaneous CVAD require
surgical placement. Correct Answer D. An implanted venous
port and a percutaneous CVAD require surgical placement.
A student nurse is observing a staff nurse care for a CVAD. The
student nurse asks why a large central vein is necessary for a
CVAD. What is the best response by the nurse?
A. "It is necessary to prevent the vein from collapsing when the
catheter is inserted."
B. "It has to be large enough for the catheter to fit."
C. "The large vessel lumen is less likely to develop clot
formation than a small vein."
D. "The large vessel lumen minimizes the risks of vessel
irritation, inflammation, or sclerosis." Correct Answer D.
"The large vessel lumen minimizes the risks of vessel irritation,
inflammation, or sclerosis."
, Choose the characteristics of a tunneled central vascular access
device. (Select all that apply.)
A. Inserted directly into a large vein
B. Inserted through a large vein in the antecubital fossa and
threaded into the tip of the superior vena cava
C. Inserted through subcutaneous tissue between the clavicle
and nipple, then into a large vein, and threaded into the superior
vena cava
D. Catheter tip lies in the larger vessels of the upper arm
E. Lower risk of infection than a nontunneled CVAD
F. Catheter tip lies in the superior vena cava
G. Held in place with a Dacron cuff
H. May be single, double, or triple lumen
I. Inserted surgically with the patient in the operating room
J. May be inserted by a specially trained nurse Correct Answer
C, E, F, G, H, I
How frequently should a transparent occlusive dressing be
changed?
A. Every 24 hours and as needed
B. Every 48 hours and as needed
C. Every 3 days and as needed
D. Every 5-7 days and as needed Correct Answer D. Every 5-
7 days and as needed
Identify possible complications of a PICC. (Select all that
apply.)
A. Air embolism
Complete Solutions
A patient is to begin chemotherapy and there is discussion
regarding placement of a CVAD. Which statement requires
correction?
A. The tunneled CVAD and implanted venous port are
considered permanent.
B. Implanted venous ports should be flushed monthly with 3-5
mL heparin (100 units/mL) to maintain patency.
C. Medications that are incompatible may be administered
through different lumens of the same CVAD.
D. An implanted venous port and a percutaneous CVAD require
surgical placement. Correct Answer D. An implanted venous
port and a percutaneous CVAD require surgical placement.
A student nurse is observing a staff nurse care for a CVAD. The
student nurse asks why a large central vein is necessary for a
CVAD. What is the best response by the nurse?
A. "It is necessary to prevent the vein from collapsing when the
catheter is inserted."
B. "It has to be large enough for the catheter to fit."
C. "The large vessel lumen is less likely to develop clot
formation than a small vein."
D. "The large vessel lumen minimizes the risks of vessel
irritation, inflammation, or sclerosis." Correct Answer D.
"The large vessel lumen minimizes the risks of vessel irritation,
inflammation, or sclerosis."
, Choose the characteristics of a tunneled central vascular access
device. (Select all that apply.)
A. Inserted directly into a large vein
B. Inserted through a large vein in the antecubital fossa and
threaded into the tip of the superior vena cava
C. Inserted through subcutaneous tissue between the clavicle
and nipple, then into a large vein, and threaded into the superior
vena cava
D. Catheter tip lies in the larger vessels of the upper arm
E. Lower risk of infection than a nontunneled CVAD
F. Catheter tip lies in the superior vena cava
G. Held in place with a Dacron cuff
H. May be single, double, or triple lumen
I. Inserted surgically with the patient in the operating room
J. May be inserted by a specially trained nurse Correct Answer
C, E, F, G, H, I
How frequently should a transparent occlusive dressing be
changed?
A. Every 24 hours and as needed
B. Every 48 hours and as needed
C. Every 3 days and as needed
D. Every 5-7 days and as needed Correct Answer D. Every 5-
7 days and as needed
Identify possible complications of a PICC. (Select all that
apply.)
A. Air embolism
