AVA Section One Questions with Complete Solutions

Device selection may be limited in pediatric patients due to small size of vessel or patient activity...true or false Correct Answer true Do pediatric patients have more or less venous options to choose from? Correct Answer less related to their size What type of devices preserve vessels and avoid unnecessary anxiety and pain related to venipuncture attempts? Correct Answer VADs Patients may have a preference for or where a line is placed. Give examples why? Correct Answer School, type of work, bra or seat belt straps Give examples of what to assess when considering demographics? Correct Answer Age, sex, underlying disease(s), homelessness, lack of social support, mentally disabled, physically disabled. Why should an IVAD be placed as shallow as possible? Correct Answer easier palpation, increases success when placing noncored needle in obese patients, ensuring adequate depth. With co-morbidities insertion of VADs can be complicated. List some co-morbidities to consider. Correct Answer ESRD, Fistulas (passt, present, future), venous thrombosis or stenosis, breast cancer, pacemaker, defibrillators, ports (past, present, future). Meaning the side that you would NOT choose to use for VAD placement...ie..same side as cardiac device Correct Answer Ipsilateral Relating to the side you would choose ..ie...opposite side of a cardiac device Correct Answer Contralateral How long is recommended to wait to use a side with a recent cardiac device implanted before using for VAD? Correct Answer 6 months True or False...CVAD insertion in the presence of an IVC filter can inadvertently trap wires in the filter. Correct Answer True Why is important to avoid CVAD or PVAD devices in lower extremeties of infants and toddlers? Correct Answer Interferes with crawling and ambulating PIV devices are recommended for use with what type of infusion therapy? Correct Answer non-vesicants, non-irritants, pH 5-9 and osmolatlity of < 600mOsm/L