Caring for Central Vascular Access Devices (CVAD) EXAM QUESTIONS AND COMPLETE SOLUTIONS 2023.

Caring for Central Vascular Access Devices (CVAD) EXAM QUESTIONS AND COMPLETE SOLUTIONS 2023. Caring for Central Vascular Access Devices (CVAD) - EXAM 1. The nurse is unable to aspirate a blood return from the distal port of a triple-lumen CVAD and suspects an occlusion. What should the nurse do first? 1. Reposition the patient and have her raise her hand above her head; reattempt. 2. Use a smaller syringe and attempt again. 3. Insert a 10-mL syringe of preservative-free sterile normal saline and attempt to flush and aspirate rapidly and repeatedly. 4. Attach a label to the port indicating it is occluded, and use a different port of the triple- lumen CVAD.: 1 (The nurse should first reposition the patient, have her take a deep breath and cough, and/or have her raise her hand above her head then reattempt. A syringe smaller than 10 mL should not be used because this could damage the catheter as a result of the high psi. Rapidly and repeatedly flushing and aspirating could cause dislodgment of a thrombus. The nurse should first attempt measures to improve patency of the port before determining it is no longer able to be used. The health care provider may order an antithrombolytic if these measures are unsuccessful.) 2. A patient has been receiving chemotherapy via a percutaneous CVAD located in the right subclavian vein. The patient is complaining of pain and burning at the insertion site of the CVAD. The nurse notes erythema, edema, and a spongy feeling around the patient's right upper chest and neck area. Which actions would be appropriate for the nurse to take at this time? (Select all that apply.) 1. Prepare to obtain electrocardiogram. 2. Stop chemotherapy administration. 3. Administer antidote per protocol. 4. Provide emotional support. 5. Turn patient onto left side with head down.: 2,3,4 (The patient is demonstrating symptoms of extravasation. Appropriate actions of the nurse include immediately stopping the vesicant administration, administering the appropriate antidote per protocol, and applying cold/warm compresses according to specific vesicant protocol. An electrocardiogram would be in order if the CVAD is placed incorrectly, resulting in cardiac dysrhythmias. Turning the patient onto the left side with head down would be ap