AVA SECTION ONE 2024 Exam Questions All Correctly Solved New Update

AVA SECTION ONE 2024 Exam Questions All Correctly Solved New Update Device selection may be limited in pediatric patients due to small size of vessel or patient activity...true or false - Answer -true Do pediatric patients have more or less venous options to choose from? - Answer -less related to their size What type of devices preserve vessels and avoid unnecessary anxiety and pain related to venipuncture attempts? - Answer -VADs Patients may have a preference for or where a line is placed. Give examples why? - Answer -School, type of work, bra or seat belt straps Give examples of what to assess when considering demographics? - 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? - 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. - 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 - Answer -Ipsilateral Relating to the side you would choose ..ie...opposite side of a cardiac device - Answer -Contralateral How long is recommended to wait to use a side with a recent cardiac device implanted before using for VAD? - Answer -6 months True or False...CVAD insertion in the presence of an IVC filter can inadvertently trap wires in the filter. - Answer -True Why is important to avoid CVAD or PVAD devices in lower extremeties of infants and toddlers? - Answer -Interferes with crawling and ambulating PIV devices are recommended for use with what type of infusion therapy? - Answer -non-vesicants, non-irritants, pH 5-9 and osmolatlity of < 600mOsm/L Power injectable catheters are made of? - Answer -Polyurethane How much pressure are power injectable ports able to withstand? - Answer ->300 pounds per square inch, PSI Patients with known septicemia, neutropenia or thrombocytopenia may benefit from what specific type of VAD? - Answer -PICC with antimicrobrial properties IVAD is indicated for complex chemo or infusion therapy of > than? - Answer -3 months What type of CVAD is recommended for patients with acute leukemia and other cancers and blood and bone marrow transplants? - Answer -Tunneled CVAD Who are tunneled CVADs used more frequently with? - Answer -infants and younger children IVADs are used less frequently with pediatric population. Why? - Answer -size of patient, fear of needle, increased risk for dislodgement Chemotherapy/Biotherapy: CVAD required for tx > how long, for vessicant tx > how long or continuous tx > than how long? - Answer -3 months, 1 hour, 24-96 hours Chemotherapy/Biotherapy: true or false..A blood return is not needed prior to infusion tx? - Answer -false...a blood return must be present Why should Chemotherapy lines and infusions not be interrupted if at all possible? - Answer -increased risk for pt exposure to infection or exposure to clinician to hazardous drug What are the recommended devices for Chemotherapy? - Answer -A tunnelled CVAD or PICC