CVAD

B. Remove the transparent dressing or tape and gauze in the direction of catheter insertion.

How can the nurse minimize the risk of dislodging the catheter when removing a dressing? A. Lower the patient's head during the dressing change. B. Remove the transparent dressing or tape and gauze in the direction of catheter insertion. C. Apply skin protectant while the stabilization device is off. D. Cleanse the insertion site quickly and gently in concentric circles

C. Check the catheter for pinholes and tears.

How would the nurse assess a patient's central venous access device (CVAD) for damage or breakage? A. Assess the patient's neck veins for distention. B. Palpate the patient's arm. C. Check the catheter for pinholes and tears. D. Palpate the area around the insertion site.

D. Flush the catheter with preservative-free 0.9% sodium chloride, per agency policy.

After drawing blood from a patient's peripherally inserted central catheter (PICC), what would the nurse do to ensure that the device resumes proper functioning? A. Discard the initial 6 mL of aspirated blood. B. Apply an antiseptic to the injection cap. C. Wear clean treatment gloves during the procedure. D. Flush the catheter with preservative-free 0.9% sodium chloride, per agency policy.

C. Disinfecting the IV needleless connector and the end of the IV tubing

After drawing blood from a peripherally inserted central catheter (PICC), which action would minimize the patient's risk for infection when reconnecting prescribed intravenous fluids? A. Wearing clean gloves B. Changing the IV tubing C. Disinfecting the IV needleless connector and the end of the IV tubing D. Aspirating for blood return before flushing the catheter

B. Palpate the skin for coiling.

The nurse is concerned that a patient's central venous access device (CVAD) may have become dislodged. How might the nurse assess for this complication? A. Check for blood return. B. Palpate the skin for coiling. C. Listen for gurgling sounds. D. Assess for pain at the site.

A. Change the dressing every 48 hours.

What is the most important way in which the nurse can reduce the risk for infection in a patient with a CVAD that has a gauze dressing? A. Change the dressing every 48 hours. B. Apply sterile gloves to remove the original dressing. C. Cleanse the catheter and insertion site with sterile saline. D. Label the dressing with the date and time of application and the nurse's initials.

D. Remove the catheter stabilization device, if present.

What will the nurse do after removing the soiled dressing from a patient's CVAD device? A. Cleanse the site with soap and water. B. Use 2% chlorhexidine swabs to cleanse the site. C. Apply a skin protectant. D. Remove the catheter stabilization device, if present.

B. Patient's oral temperature gradually increases

When caring for a patient who has a CVAD, which sign may indicate infection at the insertion site? A. Occlusion alarm sounds on infusion pump B. Patient's oral temperature gradually increases C. Patient's neck veins become distended D. The nurse cannot achieve blood return

C. Use a 10-mL syringe for the flush.

When drawing blood from a patient's peripherally inserted central catheter (PICC), what can the nurse do to minimize pressure on the device during flushing? A. Clamp the device. B. Use a 3-mL syringe for the flush. C. Use a 10-mL syringe for the flush. D. Cleanse the catheter hub with an alcohol swab.

D. The largest

When drawing blood from a peripherally inserted central catheter (PICC) in which all ports are patent, it is recommended that the nurse select which lumen? A. The shortest B. The longest C. The proximal port D. The largest

D. Discard the first 6 to 9 mL of blood drawn.

Which action can the nurse take to ensure a quality blood sample when drawing blood from a patient's peripherally inserted central catheter (PICC) site? A. Allow fluid infusions to continue to flow right up to the time of the sample. B. Flush the catheter after aspirating for blood return. C. Ensure that the patient has been resting quietly for at least 15 minutes before taking the sample. D. Discard the first 6 to 9 mL of blood drawn.

A. Use sterile technique throughout the process.

Which action would the nurse take to minimize the patient's risk for infection when changing the dressing on a CVAD? A. Use sterile technique throughout the process. B. Apply a stabilization device if the initial sutures are no longer intact. C. Apply a mask to the patient during the procedure. D. Change the transparent dressing every 48 hours.

C. "Let me know immediately if the patient's dressing becomes damp."

Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a patient with a CVAD? A. "Assess the site frequently for signs of inflammation." B. "Be sure to change the transparent dressing on the site once every 7 days." C. "Let me know immediately if the patient's dressing becomes damp." D. "Make sure the patient knows to notify me if the site is painful or swollen."

C. "Let me know immediately if the patient's dressing becomes damp."

Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a patient with a dressed central venous access device (CVAD) site? A. "Assess the site frequently for signs of inflammation." B. "Be sure to change the transparent dressing on the site once every 7 days." C. "Let me know immediately if the patient's dressing becomes damp." D. "Make sure the patient knows to notify me if the site becomes painful or swollen."

D. Subcutaneous emphysema

While palpating the skin around a patient's CVAD insertion site, the nurse elicits a crackling sound. What might this finding indicate? A. Catheter occlusion B. Infection C. Skin erosion D. Subcutaneous emphysema