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CVC

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Questions and Answers

What is a significant risk associated with puncturing the femoral artery during central line insertion?

Infection risk due to high structure density

Higher likelihood of retroperitoneal bleed (correct)

Immediate cardiac arrest

Increased chance of arterial embolism

Which of the following is NOT a basic principle when placing a central line?

Use of sterile technique

Maintain optimal patient positioning

Perform the procedure quickly to minimize time (correct)

Always have a hand on the guide wire

What type of cleaning fluid is recommended before performing a central line insertion?

Isopropyl alcohol 50%

Iodine tincture 10%

Chlorhexidine 2% in 70% isopropyl alcohol (correct)

Hydrogen peroxide solution 3%

Which item is NOT typically included in a central line kit?

Chest x-ray machine (A) Signup and view all the answers

Why is it advised to withdraw the needle to the level of the skin before redirecting the angle during central line insertion?

To prevent damage to surrounding nerves (A) Signup and view all the answers

What is a common indication for central venous catheterization in critically ill patients?

Parenteral feeding (B) Signup and view all the answers

Which relative contraindication is associated with central venous catheterization?

Obscure anatomical landmarks (A) Signup and view all the answers

What is a significant disadvantage of using the subclavian vein for central venous access?

Highest chance of pneumothorax (A) Signup and view all the answers

Which site is notably associated with the risk of puncturing the internal carotid artery?

Internal Jugular Vein (B) Signup and view all the answers

What advantage does the internal jugular vein provide during central venous catheterization?

Readily visible anatomy with ultrasound (A) Signup and view all the answers

Which option is a relative contraindication for central venous catheterization?

Uncorrected coagulopathy (C) Signup and view all the answers

What is a drawback of using the femoral vein for central venous access?

Accidental puncture of femoral artery (C) Signup and view all the answers

Which complication is associated with central venous catheterization at the internal jugular vein site?

Difficult nursing care in the long term (B) Signup and view all the answers

CVC