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NURS 611 Exam 1 Master Set Review Questions and Answers 100- Correct Maryville University of Saint Louis

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This document contains the NURS 611 Exam 1 Master Set Review Questions and Answers 100- Correct Maryville University of Saint Louis

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NURS 611 Exam 1 Master Set
Review Questions and Answers
100% Correct Maryville University
of Saint Louis
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purpose of IV therapy - Answer: hydration

nutrition

med administration



choosing vascular access - Answer: based on medications needed to be
administeres, length of stay/care w/ goal of minimizing # of accesses,
attempts, and risk for adverse reaction

,access standards of care - Answer: location

gauge size

# of attempts

chlorhexidine

bacteriostatic dressings/caps

scrub hub

site check

environment

flushing

blood return



continuous IV site check - Answer: performed every hour



intermittent IV site check - Answer: performed Q8H and/or prior to
med administration



tubing standards of care - Answer: never leave tubing uncapped

change continuous tubing Q96H

change TPN tubing Q24H

,change blood product tubing every unit



peripheral IV - Answer: short term catheter inserted into any vein that
is not in the chest or abdomen

function: non irritating and non vesicant meds

dwell time: therapy > 5 days



peripheral IV sites - Answer: cephalic, basilic, saphenous, external
jugular, antecubital, dorsal venous, scalp



care of peripheral line - Answer: assess, flush for patency, maintain
dressing, removal



catheter sizes and flow rates - Answer:



midline catheters - Answer: "long peripheral line"// sterile

location: terminates in area of axillae

meds: blood draw

dwell time: up to 4 weeks



midline catheter sites - Answer: basilic and cephalic veins

, midline catheter uses - Answer: blood draw

PPN

pts with difficult IV access



central line (CVAD) - Answer: tip terminates in the SVC

long dwell times



types of central lines - Answer: PICC

non-tunneled CVC

tunneled CVC

implanted port



central line flushing - Answer: some (open ended catheters) require
heparin flushes to prevent clogging with fibrin; while some (valved
catheters) do not



PICC line - Answer: peripherally inserted central catheter

location: tip terminates in the SVS

dwell time: 6mos-1yr

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