NURS 320 Exam 2 Questions with
Complete Answers
You enter a client's room and during your assessment you notice the IV site that is
hooked up to IV fluids is wet. Discuss your assessment, actions, and the possibilities
of what the issues are. - ANSWER-oYou will assess the site for any infiltration or
infection
oStop the fluids and then check the site for patency to ensure that it is the IV site that
leaking
oThe IV site could be bad and no longer able to use, or it could be wet from external
factors
which type central line is placed for a couple hours to a week? - ANSWER-Short-
term Indwelling
this central line type is made with stiffer plastic - ANSWER-Short-term Indwelling
this type of central line is inserted into the jugular vein. And is nicknamed IJ line. -
ANSWER-Short-term Indwelling
This type of central line has a shorter catheter because it travels a shorter distance. -
ANSWER-Short-term Indwelling
How is a short term indwelling catheter held into place? - ANSWER-Needs to be
sutured into place and taped down well
Very uncomfortable due to the tape and lumen
where can short term indwelling catheter's be placed (in the hospital)? - ANSWER-
•Placed in the OR usually for a procedure
where can long-term indwelling catheters be placed? - ANSWER-•Placed in
radiology or in the OR
this type of central line is made with softer plastic. - ANSWER-Long-term Indwelling
How is a Long term indwelling catheter placed? - ANSWER-•Make a cut at the
subclavian vein and second cut elsewhere on the chest a rod is then placed between
the cuts to make a tunnel the catheter is then inserted into the vein and threaded to
the junction. The subclavian is then sutured closed
what type of ends do the long term indwelling have? - ANSWER-•Hickman or
groshong ends and access ports can be repaired is they become kinked or broken
which central line type has a dacron cuff? What does Dacron cuff do? - ANSWER-
•Tunneled catheters have a Dacron cuff- which is a spongy material that surrounds a
, small section of the catheter and has some antimicrobial properties but mainly is
used to help anchor the lint to the place by allowing the connective tissue to grow
into the cuff
which type of port looks like a disk under the skin? - ANSWER-Implanted ports
Where can implanted ports be placed? - ANSWER-Implanted ports placed in
radiology or OR
can implanted ports be repaired? - ANSWER-•2 incisions- sewn up in the end
•cannot be repaired since sewn in
How do you access an implanted port? - ANSWER-•access ports have a self sealing
reservoir
•when not accessed by a huber needle they do not need any additional dressing to
cover them since they are covered by skin
- always access through a huber needle with sterile procedure
do you have to do daily maintenance on implanted ports? What maintenance is
needed? - ANSWER-•do not have to do daily maintenance- pt can swim and shower
•to maintain the port you must use a heparin flush - if it is not in use then the port
must be flushed monthly with heparin
How are PICC lines placed? - ANSWER-•Usually placed at the bedside by a trained
RN
Which is the longest of the central lines? - ANSWER-PICC Longest of all the central
lines
oPlaced through the basilic or cephalic vein anticubital or upper arm
which central line has the smallest lumen? - ANSWER-•PICC Lumen is smaller than
other catheter lines
What is a Groshong catheter? - ANSWER--Closed rounded ends
-slits that flip in or out
-form smooth base when not in use
-prevent platelet aggregation
-use saline flushes
-preferred because no heparin flush
Can PICC lines be used for all procedures? - ANSWER-•Not all PICC lines can be
used for certain procedures - like contrast for Ct scans can damage the lines (due to
the high pressure)
What is the Hickman catheter? - ANSWER--tapered open end like PIV
-cut holes in the side of the lumen
-requires a heparin flush
Complete Answers
You enter a client's room and during your assessment you notice the IV site that is
hooked up to IV fluids is wet. Discuss your assessment, actions, and the possibilities
of what the issues are. - ANSWER-oYou will assess the site for any infiltration or
infection
oStop the fluids and then check the site for patency to ensure that it is the IV site that
leaking
oThe IV site could be bad and no longer able to use, or it could be wet from external
factors
which type central line is placed for a couple hours to a week? - ANSWER-Short-
term Indwelling
this central line type is made with stiffer plastic - ANSWER-Short-term Indwelling
this type of central line is inserted into the jugular vein. And is nicknamed IJ line. -
ANSWER-Short-term Indwelling
This type of central line has a shorter catheter because it travels a shorter distance. -
ANSWER-Short-term Indwelling
How is a short term indwelling catheter held into place? - ANSWER-Needs to be
sutured into place and taped down well
Very uncomfortable due to the tape and lumen
where can short term indwelling catheter's be placed (in the hospital)? - ANSWER-
•Placed in the OR usually for a procedure
where can long-term indwelling catheters be placed? - ANSWER-•Placed in
radiology or in the OR
this type of central line is made with softer plastic. - ANSWER-Long-term Indwelling
How is a Long term indwelling catheter placed? - ANSWER-•Make a cut at the
subclavian vein and second cut elsewhere on the chest a rod is then placed between
the cuts to make a tunnel the catheter is then inserted into the vein and threaded to
the junction. The subclavian is then sutured closed
what type of ends do the long term indwelling have? - ANSWER-•Hickman or
groshong ends and access ports can be repaired is they become kinked or broken
which central line type has a dacron cuff? What does Dacron cuff do? - ANSWER-
•Tunneled catheters have a Dacron cuff- which is a spongy material that surrounds a
, small section of the catheter and has some antimicrobial properties but mainly is
used to help anchor the lint to the place by allowing the connective tissue to grow
into the cuff
which type of port looks like a disk under the skin? - ANSWER-Implanted ports
Where can implanted ports be placed? - ANSWER-Implanted ports placed in
radiology or OR
can implanted ports be repaired? - ANSWER-•2 incisions- sewn up in the end
•cannot be repaired since sewn in
How do you access an implanted port? - ANSWER-•access ports have a self sealing
reservoir
•when not accessed by a huber needle they do not need any additional dressing to
cover them since they are covered by skin
- always access through a huber needle with sterile procedure
do you have to do daily maintenance on implanted ports? What maintenance is
needed? - ANSWER-•do not have to do daily maintenance- pt can swim and shower
•to maintain the port you must use a heparin flush - if it is not in use then the port
must be flushed monthly with heparin
How are PICC lines placed? - ANSWER-•Usually placed at the bedside by a trained
RN
Which is the longest of the central lines? - ANSWER-PICC Longest of all the central
lines
oPlaced through the basilic or cephalic vein anticubital or upper arm
which central line has the smallest lumen? - ANSWER-•PICC Lumen is smaller than
other catheter lines
What is a Groshong catheter? - ANSWER--Closed rounded ends
-slits that flip in or out
-form smooth base when not in use
-prevent platelet aggregation
-use saline flushes
-preferred because no heparin flush
Can PICC lines be used for all procedures? - ANSWER-•Not all PICC lines can be
used for certain procedures - like contrast for Ct scans can damage the lines (due to
the high pressure)
What is the Hickman catheter? - ANSWER--tapered open end like PIV
-cut holes in the side of the lumen
-requires a heparin flush
