NRSG 3323 Exam 1 Questions and
Answers15
peripherally inserted central catheter (PICC) - ANSWERS-usually secured in place with wound
closure strips or a securing device to prevent catheter migration and damage. can be sutured in
place but this is not usually done due to risk of infection
tunneled central venous access - ANSWERS-- Groshong, Hickman, Broviac
- tunneled in sc tissue for 3-6" to exit site
- long-term therapy
- lower risk of CLABSI than non-tunneled CVAD
- less visible
- allows ease of movement
- breaks and tears in some catheters repairable
- easily maintained in home setting
- Dacron cuff on the catheter inside the skin tunnel creates a seal and prevents bacteria from
migrating along the catheter from the skin to the bloodstream
implantable IV port - ANSWERS-- long-term therapy
- proximal end implanted into sc tissue of upper chest
- no visible external ports or lines
- minimal daily care
- some discomfort with accessing the device
CVAD - ANSWERS-central venous access device
- *terminal end lies in superior or inferior vena cava*
, - *radiological confirmation of placement unless it was placed under fluoroscopy*
- multiple lumens
- hemodynamic monitoring (CVP)
- blood sampling
Uses:
- extended length of therapy
- poor peripheral access
- hypertonic, vesicant, or pH extremes
- total parenteral nutrition (TPN)
- chemotherapy
Push-pause flush method for CVADs - ANSWERS-use 10mL syringe to flush with 3-5mL NaCl +
3mL Heparin 100units/mL
flush after every use or q7 days if not in use
Goals of obtaining a health history - ANSWERS-gather information, identify actual and potential
health problems, identify teaching and referral needs, negotiate management (plan to stop
smoking), contract for positive behavioral change and disease prevention
Categories of a traditional health history - ANSWERS-CC - chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
Genogram - ANSWERS-A family diagram that depicts each member of the family and shows
connections between the generations - allows you to see how conditions are transferred
genetically
Answers15
peripherally inserted central catheter (PICC) - ANSWERS-usually secured in place with wound
closure strips or a securing device to prevent catheter migration and damage. can be sutured in
place but this is not usually done due to risk of infection
tunneled central venous access - ANSWERS-- Groshong, Hickman, Broviac
- tunneled in sc tissue for 3-6" to exit site
- long-term therapy
- lower risk of CLABSI than non-tunneled CVAD
- less visible
- allows ease of movement
- breaks and tears in some catheters repairable
- easily maintained in home setting
- Dacron cuff on the catheter inside the skin tunnel creates a seal and prevents bacteria from
migrating along the catheter from the skin to the bloodstream
implantable IV port - ANSWERS-- long-term therapy
- proximal end implanted into sc tissue of upper chest
- no visible external ports or lines
- minimal daily care
- some discomfort with accessing the device
CVAD - ANSWERS-central venous access device
- *terminal end lies in superior or inferior vena cava*
, - *radiological confirmation of placement unless it was placed under fluoroscopy*
- multiple lumens
- hemodynamic monitoring (CVP)
- blood sampling
Uses:
- extended length of therapy
- poor peripheral access
- hypertonic, vesicant, or pH extremes
- total parenteral nutrition (TPN)
- chemotherapy
Push-pause flush method for CVADs - ANSWERS-use 10mL syringe to flush with 3-5mL NaCl +
3mL Heparin 100units/mL
flush after every use or q7 days if not in use
Goals of obtaining a health history - ANSWERS-gather information, identify actual and potential
health problems, identify teaching and referral needs, negotiate management (plan to stop
smoking), contract for positive behavioral change and disease prevention
Categories of a traditional health history - ANSWERS-CC - chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
Genogram - ANSWERS-A family diagram that depicts each member of the family and shows
connections between the generations - allows you to see how conditions are transferred
genetically
