NU 311 Quiz 6
To prevent infusion-related complications, solutions and medica-
tions with an osmolarity greater than 900 mOsm/L are infused
through a CVAD. Short-peripheral catheters should not be used a. CVAD
for vesicant therapy, parenteral nutrition, or infusates with an
osmolarity greater than 900 mOsm/L
The 20 year old client is admitted to the Emergency Department
(ED) following an accident while riding a motorcycle. The client
has multiple fractures and is being evaluated for additional injuries.
What size IV catheter is most appropriate?
A.
24 gauge
c.
B.
22 gauge
C.
16 gauge
D.
Butterfly needle
The Institute for Healthcare Improvement (IHI) recommends a
Central Line Bundle for clients with intravascular central catheters.
Which intervention is not part of the IHI Central Line Bundle?
A. Hand Hygiene
B. Povidone iodine (betadine) skin antisepsis b.
C. Avoid inserting CVADs into femoral vein in adult clients
D. Daily review of necessity of the CVAD
E. Use of all barriers during CVAD insertion
Shortly after receiving a central line, the client complains of chest
pain and dyspnea. The RN suspects an air embolus. What is the
priority action?
A. Apply warm compresses to the insertion site
B. Secure catheter with stabilization device d
C. Instruct the client to cough and deep breathe
D. Administer O2 as ordered and position the client on the left side
with head down
The following statement regarding parenteral nutrition (PN) is true:
A. Solutions with an osmolality less than 600 mOsm/L require a
CVAD.
B. The most frequent complication of PN is catheter-related
b.
bloodstream infection (CRBSI).
C. Due to advances in medicine, PN is safe and relatively risk
free.
D. Clients requiring PN usually have a shorter length of stay
Which task related to IV therapy may be delegated to nursing
assistive personnel (NAP)?
A. Reporting leakage around the tubing
B. Inserting the IV A. Reporting leakage around the tubing
C. Regulating the flow rate of the IV fluid
D. Hanging a new bag of IV fluid when the previous bag is infused
The tip of the non-femoral CVAD is located:
A. in the inferior vena cava above the level of the diaphragm.
B. in the antecubital fossa. D. in the superior vena cava and the junction of the right atrium.
C. in the right ventricle.
D. in the superior vena cava and the junction of the right atrium.
Which item/s are types of central vascular access devices
(CVADs)? (Select all that apply)
A.
B.
Percutaneous endoscopic gastrostomy tubes
C.
B.
D.
Implanted venous ports
C.
Nontunneled percutaneous access lines
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To prevent infusion-related complications, solutions and medica-
tions with an osmolarity greater than 900 mOsm/L are infused
through a CVAD. Short-peripheral catheters should not be used a. CVAD
for vesicant therapy, parenteral nutrition, or infusates with an
osmolarity greater than 900 mOsm/L
The 20 year old client is admitted to the Emergency Department
(ED) following an accident while riding a motorcycle. The client
has multiple fractures and is being evaluated for additional injuries.
What size IV catheter is most appropriate?
A.
24 gauge
c.
B.
22 gauge
C.
16 gauge
D.
Butterfly needle
The Institute for Healthcare Improvement (IHI) recommends a
Central Line Bundle for clients with intravascular central catheters.
Which intervention is not part of the IHI Central Line Bundle?
A. Hand Hygiene
B. Povidone iodine (betadine) skin antisepsis b.
C. Avoid inserting CVADs into femoral vein in adult clients
D. Daily review of necessity of the CVAD
E. Use of all barriers during CVAD insertion
Shortly after receiving a central line, the client complains of chest
pain and dyspnea. The RN suspects an air embolus. What is the
priority action?
A. Apply warm compresses to the insertion site
B. Secure catheter with stabilization device d
C. Instruct the client to cough and deep breathe
D. Administer O2 as ordered and position the client on the left side
with head down
The following statement regarding parenteral nutrition (PN) is true:
A. Solutions with an osmolality less than 600 mOsm/L require a
CVAD.
B. The most frequent complication of PN is catheter-related
b.
bloodstream infection (CRBSI).
C. Due to advances in medicine, PN is safe and relatively risk
free.
D. Clients requiring PN usually have a shorter length of stay
Which task related to IV therapy may be delegated to nursing
assistive personnel (NAP)?
A. Reporting leakage around the tubing
B. Inserting the IV A. Reporting leakage around the tubing
C. Regulating the flow rate of the IV fluid
D. Hanging a new bag of IV fluid when the previous bag is infused
The tip of the non-femoral CVAD is located:
A. in the inferior vena cava above the level of the diaphragm.
B. in the antecubital fossa. D. in the superior vena cava and the junction of the right atrium.
C. in the right ventricle.
D. in the superior vena cava and the junction of the right atrium.
Which item/s are types of central vascular access devices
(CVADs)? (Select all that apply)
A.
B.
Percutaneous endoscopic gastrostomy tubes
C.
B.
D.
Implanted venous ports
C.
Nontunneled percutaneous access lines
1/4
