ATI Skills Module 3.0- Central Venous Access Device Exam Questions and Answers

ATI Skills Module 3.0- Central Venous Access Device Exam Questions and Answers A nursing is caring for a client who has an implanted port that needs to be accessed for an infusion. Which of the following actions should the nurse take? A. use a standard medium-gauge needle to access the port? B. insert the primed needle into the port at a 45 degree angle C. withdraw the needle after insertion, leaving the needles sheath in place for infusion? D. cover the device and the needle with a sterile transparent dressing. - Ans ️️ -D. cover the device and the needle with a sterile transparent dressing. Rationale: once the implanted port has been accessed, the needle must be supported and anchored. The needle should be covered with a transparent dressing to secure the needle. A nurse is caring for a client who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. The nurse suspects an air embolism and clamps catheter immediately. The nurse should reposition the client into which of the following positions? A. Supine with pillow beneath the knees. B. On their left side in Trendelenburg position C. Upright and leaning over the overbed table D. On their right side with the head of the bed elevated 15 degrees - Ans ️️ -B. On their left side in Trendelenburg position Rationale: This position helps trap the air in the apex of the right atrium rather than allowing it to enter the right ventricle and, from there, move to the pulmonary arterial system. A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following complications associated with central vascular access devices? A. Catheter rupture B. Catheter migration C. Pneumothorax D. Phlebitis - Ans ️️ -A. Catheter ruptu