Deck 29: Central Vascular Access

Question 1

The major difference in maintaining the CV catheter with Groshong valve is__________

Answer 1

Only saline is used for flushing the Groshong Valve.

Question 2

The major advantage of the peripherally inserted central catheter (PICC)is

A)Nurse can insert via venipuncture.
B)No flushing is required to maintain.
C)Less risk of infections.
D)Subcutaneous implantation.

Answer 2

Nurse can insert via venipuncture.

Question 3

The major advantage of a subcutaneous port is

A)No flushing is required.
B)Less risk of infection.
C)Painless accessibility.
D)Nurse can insert.

Answer 3

Less risk of infection.

Question 4

Occlusion of a central vascular access device places the client at risk for

A)Stroke.
B)Drug extravasation.
C)Air embolism.
D)Pulmonary embolism.

Question 5

The priority method for site preparation for central catheters is

A)An alcohol prep pad;cleanse from inner aspects outward to the periphery.
B)A 2% chlorhexidine gluconate skin prep applicator.
C)A 10% povidone-iodine prep pad.
D)Tincture of iodine soaked 2" × 2" gauze pads.

Question 6

The term "central venous pressure" is defined as

A)Pressure of the circulating blood.
B)Pressure of blood returning to the left atrium.
C)Pressure of the blood in the pulmonary vein.
D)Pressure of blood returning to the right atrium.

Question 7

What is the correct procedure for identifying the zero point before taking a CVP reading?

A)Mark the point at the midaxillary area at fourth intercostal space.
B)Mark the point laterally 8 cm down from the anterior chest.
C)Feel for the point of maximum impulse (PMI)of the heart,and mark this point.
D)Mark the midsternal point laterally,one-third of the way between the anterior to the posterior chest.

Question 8

A central catheter dressing change requires all of the following safety factors except

A)The insertion site is cleansed with acetone to clean the site of dried blood.
B)The IV site is cleaned from the insertion site to the periphery.
C)Masks are worn by both client and nurse.
D)The tubing is changed while having client hold his or her breath and bear down.

Question 9

Briefly state the rationale for maintaining "positive pressure" while removing the syringe from a central line infusion__________

Question 10

The Huber needle can remain in place for __________________ days when frequent IV drugs are being infused through the infusion port.

Question 11

The Groshong CV catheter with Groshong valve should be irrigated using

A)A slow injection rate.
B)A tuberculin syringe for increased pressure.
C)A stop-start.
D)Heparinized solution in a 3 mL syringe.

Question 12

Opening a central vascular catheter to room air places the client at risk for

A)Hemorrhage.
B)Air embolism.
C)Infection.
D)Catheter clotting.

Question 13

Place the steps of irrigating a CV catheter with Groshong valve in sequence from 1 to 4.

A)Clean catheter connector,using 2% chlorhexidine gluconate.__________
B)Remove injection cap by twisting and pulling cap in counterclockwise movement.__________
C)Maintain positive pressure on plunger of syringe.__________
D)Inject 5 mL of normal saline into the catheter lumen.__________

Question 14

When you are assessing the central vascular subcutaneous infusion port,you place your thumb and forefinger on the port.The rationale for this action is to
.

Question 15

The purpose of applying a BIOPATCH dressing around a catheter is:

Question 16

Which one of the following statements is not true regarding a midline catheter?

A)The catheter is inserted at least 10 inches into a proximal vein in the arm.
B)The catheter is termed a tunneled catheter.
C)The site needs to be changed every 3 to 4 days.
D)X-ray for placement is not necessary,as it does not enter the superior vena cava.

Question 17

What action will you take to prevent aspiration of blood into the catheter lumen to decrease the risk of catheter occlusion?

Question 18

Briefly state the cleansing procedure before accessing a subcutaneous central venous Medi-Port.

Question 19

Following central vascular catheterization,the client should be assessed for

A)Myocardial infarction.
B)Stroke.
C)Pulmonary embolism.
D)Pneumothorax.

Question 20

Which of the following central venous access devices requires a pulsating action for irrigation?

A)Percutaneous catheter.
B)Catheter with Groshong valve.
C)Subcutaneous port.
D)PICC.

Question 21

Provide rationale for the use of the CLC2000™ Positive Pressure Device

Question 22

A special precaution in caring for the client with a PICC is__________ .