NURS 358 EXAM 2026 PREMIUM REVIEW
PACK WITH DETAILED ANSWER KEY
◉nontunneled CVAD. Answer: - used up to a few weeks
- place at bedside by MD
Ex.
- arrow, Hohn, cook
- central line
◉tunneled. Answer: tunneled in subcutaneous tissue under skin for
3-6 inches to its exit site
- inserted in OR or VIR
- must be removed in VIR
- Ex. Hickman, Groshong, Hemodialysis in Apheresis catheters
- dacrong cuff stabiizes cath and decrease incidence of infection
- less risk of infection b/c of longer tubing
◉subcutaneous implanted ports. Answer: - central venous catheter
connected to an implanted, single or double SQ injection port
,- widely used in oncology
- RN can access and de-access with MD orders
◉Heparin. Answer: what is flushed to keep subcutaneous implanted
ports open?
- prevents compromise of the line
◉Huber Needle. Answer: cause less trauma to septum, good for
hundreds of "pokes"
◉PICC lines. Answer: - central venous catheter inserted into a vein
in the arm
- single or multi-lumen, nontunneled
- cannot use arm for BP or blood draw
- placed by specialty RNs or in VIR
◉hemodialysis catheters. Answer: can only be flushed by a dialysis
RN due to high concentration of heparin used to flush the line
◉SASH. Answer: Flush Saline
Then Heparin
◉CVAD dressing change. Answer: - sterile dressing change
, - change per facility protocol WITH cap change
- change immediately if wet, soiled, or loose dressings
- change w/in 24 hours of admission
- change injection caps
- have pt turn head opposite side
- valsalva maneuver if no clamp
◉CVAD. Answer: If no blood return...
- check tubing and clamps
- ask pt to perform valsalva maneuver
- change pt position or place affected pt arm over head
- flush again
- notify pcp if still no blood return
◉Complication of CVADs. Answer: - catheter occlusion
- infection
- thrombosis
- pneumothorax
- phlebitis
- catheter migration
- improper suturing
- trauma
PACK WITH DETAILED ANSWER KEY
◉nontunneled CVAD. Answer: - used up to a few weeks
- place at bedside by MD
Ex.
- arrow, Hohn, cook
- central line
◉tunneled. Answer: tunneled in subcutaneous tissue under skin for
3-6 inches to its exit site
- inserted in OR or VIR
- must be removed in VIR
- Ex. Hickman, Groshong, Hemodialysis in Apheresis catheters
- dacrong cuff stabiizes cath and decrease incidence of infection
- less risk of infection b/c of longer tubing
◉subcutaneous implanted ports. Answer: - central venous catheter
connected to an implanted, single or double SQ injection port
,- widely used in oncology
- RN can access and de-access with MD orders
◉Heparin. Answer: what is flushed to keep subcutaneous implanted
ports open?
- prevents compromise of the line
◉Huber Needle. Answer: cause less trauma to septum, good for
hundreds of "pokes"
◉PICC lines. Answer: - central venous catheter inserted into a vein
in the arm
- single or multi-lumen, nontunneled
- cannot use arm for BP or blood draw
- placed by specialty RNs or in VIR
◉hemodialysis catheters. Answer: can only be flushed by a dialysis
RN due to high concentration of heparin used to flush the line
◉SASH. Answer: Flush Saline
Then Heparin
◉CVAD dressing change. Answer: - sterile dressing change
, - change per facility protocol WITH cap change
- change immediately if wet, soiled, or loose dressings
- change w/in 24 hours of admission
- change injection caps
- have pt turn head opposite side
- valsalva maneuver if no clamp
◉CVAD. Answer: If no blood return...
- check tubing and clamps
- ask pt to perform valsalva maneuver
- change pt position or place affected pt arm over head
- flush again
- notify pcp if still no blood return
◉Complication of CVADs. Answer: - catheter occlusion
- infection
- thrombosis
- pneumothorax
- phlebitis
- catheter migration
- improper suturing
- trauma
