FULL PRACTICE QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
⩥ ISAVE, a guide for patients and families, is an acronym from the AVA
that stands for... Answer: Inform (Swelling, Temperature Changes,
Oozing, Pain)
See us check your IV often (Is it working? Is there S.T.O.P.? IS the
dressing C/D/I? Is your IV still needed?)
Ask us to clean our hands
Value your veins
Expect us to follow basic rules
⩥ Additional patient considerations Answer: Cognitive impairment
Mental illness
Limited language proficiency
Religious objections to medical care
Cultural differences
Vulnerable populations
⩥ Psychosocial considerations Answer: Cultural diversity
Types of health beliefs (scientific/biomedical, holistic, magic-spiritual)
,⩥ Strategies to promote patient engagement include: Answer:
Encouraging and facilitating communication/participation
Keeping the patient informed through bedside change of shift reports
Engaging in discharge planning throughout stay
Increasing knowledge, skills, abilities
⩥ _____ is a patient educational process involving shared decision-
making Answer: Informed consent
⩥ Selection of the most appropriate vascular _____ occurs as a
collaborative process among the interprofessional team, the patient, and
the patient's caregivers. Answer: device (NOT just location)
⩥ Recommendations for facilitating the _____ process include:
- Provide educational materials and forms at an educational level
between 4 and 6th grade
- Use a medical interpreter for non-English speaking patients
- Use appropriate resources for those with visual or hearing deficits
- Allow adequate time for questions/answers
- Use most appropriate method (verbal, written handouts, video/online
sources)
- Validate understanding by using teach-back
- Collaborate with the provider Answer: Informed consent
, ⩥ For CVAD patency assessment, use a _____ or larger syringe to flush
Answer: 10 mL
⩥ Securement devices should be changed at least every _____ days, and
when non-adherent, wet, loose, or visibly soiled. Answer: 7
⩥ Arrhythmias during central line placement are caused by Answer:
catheter or wire annoying cardiac conduction
⩥ Arrhythmias can occur during insertion or post-insertion due to...
Answer: migration of catheter
⩥ Prevention of _____:
- Ensure optimal tip location via technology or chest radiology
- Careful measurement and documentation of external anatomic
landmarks
- Adequate stabilization and proper dressing mgmt
- Daily assessment of line/pt condition, always comparing current
external length to that at the time of insertion
- Consider left sided insertion (more length to insert wire before
reaching sensitive areas of the heart) in pt's who have
arrhythmias/cardiac conditions/post-MI Answer: arrhythmias