Vascular Access Procedures Quiz

Play an AI-generated podcast conversation about this lesson

What indicates a positive Allen's Test when assessing collateral circulation?

The skin returns to normal color within 5 seconds

The patient cannot make a fist effectively

Blushing occurs immediately upon releasing pressure

Palmar color does not return to normal after 5-15 seconds (correct)

Which of the following is NOT a contraindication for an Aquapheresis catheter?

Inappropriate catheter to vein ratio

Presence of acute abdomen

Accessible Basilic vein in upper arm (correct)

Lack of accessible Basilic vein

What is the primary use of a pulmonary artery catheter?

To administer general blood sampling

To monitor arterial blood gas analysis

To assess shock and fluid requirements (correct)

To perform fluid resuscitation only

Which procedure is essential to determine the appropriateness of puncturing the radial artery?

Modified Allen's Test with ultrasound (D) Signup and view all the answers

What is the function of a pediatric umbilical catheter?

Fluid and medication administration (A) Signup and view all the answers

What must be considered during the insertion of an arterial catheter regarding site selection?

Multiple possible sites such as femoral and dorsalis pedis (A) Signup and view all the answers

Which of the following best describes a contraindication for inserting a pulmonary artery catheter?

Mitral stenosis (B) Signup and view all the answers

What is one of the indications for monitoring with an arterial catheter?

Monitoring arterial pressure (D) Signup and view all the answers

What result from the Allen's Test indicates that the radial artery should not be punctured?

Color does not return to normal within 5-15 seconds (D) Signup and view all the answers

Which supply is NOT typically required for the insertion of an arterial catheter?

Doppler ultrasound machine (C) Signup and view all the answers

When selecting a site for catheter insertion, which of the following sites is NOT appropriate?

Subclavian artery (A) Signup and view all the answers

What should be done prior to performing an arterial catheter insertion?

Perform an ultrasound of the vein (B) Signup and view all the answers

Which action is discouraged when accessing vasculature for arterial catheter insertion?

Making blind-stick attempts (D) Signup and view all the answers

What is the primary purpose of using a pulmonary artery catheter?

To monitor cardiac function and hemodynamics (D) Signup and view all the answers

Which site is preferred for the insertion of a pulmonary artery catheter?

Right axillary/subclavian vein (B) Signup and view all the answers

What is a common complication associated with pulmonary artery catheterization?

Dysrhythmias (B) Signup and view all the answers

What key equipment is necessary for the insertion of a pulmonary artery catheter?

Transducing equipment and a wedge syringe (C) Signup and view all the answers

Which condition is an absolute contraindication for the use of a pulmonary artery catheter?

Mitral stenosis (C) Signup and view all the answers

What is the purpose of the introducer sheath used during pulmonary artery catheter insertion?

To provide a pathway for catheter entry into the vein (A) Signup and view all the answers

What is the main function of an Aquapheresis catheter?

To remove excess salt and water from the bloodstream (D) Signup and view all the answers

What method should be avoided when inserting a pulmonary artery catheter?

Performing blind-sticks to access veins (C) Signup and view all the answers

What complication is associated with the use of a pulmonary artery catheter?

Dysrhythmias due to catheter placement (D) Signup and view all the answers

Which of the following supplies is NOT required for the insertion of a pulmonary artery catheter?

Hemodialysis catheter (C) Signup and view all the answers

What is a critical aspect of the cardiac monitoring during the insertion of a pulmonary artery catheter?

Interpreting hemodynamic waveforms (D) Signup and view all the answers

What is a primary advantage of using an Aquapheresis catheter for ultrafiltration therapy?

It effectively removes excess salt and water (A) Signup and view all the answers

What is a contraindication to inserting a pulmonary artery catheter?

Mitral stenosis (B) Signup and view all the answers

During the procedure for insertion of a pulmonary artery catheter, what technique is strongly advised against?

Performing 'blind-sticks' for vein access (A) Signup and view all the answers

What site is preferred for the insertion of the pulmonary artery catheter?

Right axillary or SC vein (C) Signup and view all the answers

What typical feature of an Aquapheresis catheter facilitates its purpose?

Dual lumen design for fluid management (A) Signup and view all the answers

Which of the following is a contraindication for inserting an arterial catheter into the radial artery?

Inadequate collateral circulation determining a positive Allen's Test (C) Signup and view all the answers

Which site is NOT typically selected for arterial catheter insertion?

Subclavian artery (D) Signup and view all the answers

Before performing an arterial catheter insertion, which procedure is crucial to ensure safe access?

Conducting a modified Allen's Test (A) Signup and view all the answers

What is necessary to ensure proper insertion of an arterial catheter in terms of equipment?

A stabilization device and sterile dressings (D) Signup and view all the answers

What action should be taken to minimize complications when inserting an arterial catheter?

Use a doppler ultrasound to visualize the artery before insertion (B) Signup and view all the answers

Which of the following describes an indication for the use of an arterial catheter?

Arterial blood gas analysis (D) Signup and view all the answers

What test is used to assess the adequacy of collateral circulation before puncturing the radial artery?

Modified Allen's Test (B) Signup and view all the answers

Which site is commonly considered for arterial catheter insertion?

Dorsalis pedis artery (A) Signup and view all the answers

What is the primary purpose of disinfecting the site before arterial catheter insertion?

To minimize the risk of infection (A) Signup and view all the answers

Which action should be avoided to ensure safety during arterial catheterization?

Performing a 'blind-stick' attempt (B) Signup and view all the answers

What is the primary goal of using a pulmonary artery catheter?

To evaluate fluid resuscitation effectiveness and monitor cardiac function (C) Signup and view all the answers

Which factor is critical to ensure when selecting a site for pulmonary artery catheter insertion?

Maximal sterile barrier precautions must be implemented (B) Signup and view all the answers

What must be avoided during the insertion procedure of a pulmonary artery catheter?

Performing blind-sticks to access veins (A) Signup and view all the answers

Which statement best describes a vital consideration post insertion of a pulmonary artery catheter?

Knowledge of hemodynamic waveforms is essential for post insertion care (A) Signup and view all the answers

What is one of the main contraindications for inserting a pulmonary artery catheter?

Active mitral stenosis (B) Signup and view all the answers

What characteristic of the Aquapheresis catheter is essential for its function?

It facilitates ultrafiltration therapy to remove excess fluids (A) Signup and view all the answers

Which piece of equipment is NOT required during the insertion procedure of a pulmonary artery catheter?

Blood transfusion apparatus (A) Signup and view all the answers

In what situation should the pulmonary arterial catheter be particularly monitored?

During the entire catheter insertion process (D) Signup and view all the answers

What skin condition should be assessed at the planned insertion site for a CVAD?

Presence of any skin lesions or scars (A) Signup and view all the answers

In assessing veins for potential catheter insertion, what characteristic indicates probable thrombosis?

Non-compressible or partially compressible target veins (C) Signup and view all the answers

What is a key feature of Chlorhexidine Gluconate (CHG) that contributes to its effectiveness as a skin antiseptic?

It forms an ionic bond with cells to destroy the cell wall. (A) Signup and view all the answers

Considerations for site selection of long-term devices should include which of the following factors?

The impact of the device on the patient's physical activities (A) Signup and view all the answers

Why should barriers to secure dressing applications be assessed?

To reduce the risk of infection and dislodgement (B) Signup and view all the answers

Which characteristic is NOT associated with an ideal skin antiseptic agent?

Strong irritation response. (A) Signup and view all the answers

What impact does the presence of organic material have on antiseptic solutions?

It can decrease the effectiveness of the antiseptic solution. (A) Signup and view all the answers

Which medical devices should be checked in the area of the projected vessel before CVAD insertion?

All implanted devices within the projected vessel area (C) Signup and view all the answers

How long should Chlorhexidine Gluconate (CHG) be applied using friction to achieve effectiveness in the femoral area?

2 full minutes. (A) Signup and view all the answers

Which consideration is important for pediatric patients during CVAD procedures?

Child Life Specialists should be involved in planning and care (B) Signup and view all the answers

What characteristic of antiseptics is crucial for skin preparation before CVAD insertion?

They inhibit microorganisms and limit infection risks (B) Signup and view all the answers

What should be done to visibly soiled areas before applying Chlorhexidine Gluconate?

Wash with soap and water before application. (C) Signup and view all the answers

What is a primary indication for the use of an umbilical artery catheter?

Continuous blood pressure monitoring (C) Signup and view all the answers

Which factor is NOT likely to affect the effectiveness of an antiseptic solution?

Color of the antiseptic solution. (A) Signup and view all the answers

Which approach can be considered for patients at high risk of accidental catheter dislodgement?

Exploring creative securement strategies (C) Signup and view all the answers

What is the optimal tip location for the umbilical vein catheter?

Near the junction of the inferior vena cava and right atrium (B) Signup and view all the answers

What is one reason Chlorhexidine Gluconate can inhibit biofilm formation?

It establishes a cationic bond with bacteria. (A) Signup and view all the answers

Which antiseptic agent is preferred for providing persistent antibacterial action on skin?

Chlorhexidine Gluconate. (B) Signup and view all the answers

Which method is considered most effective for confirming catheter tip location in a case of a congenital cardiac condition?

Fluoroscopy (C) Signup and view all the answers

What is NOT a contraindication for the insertion of an umbilical artery catheter?

Good stump condition (C) Signup and view all the answers

Which of the following supplies is essential for both umbilical artery and umbilical vein catheter insertion?

Antimicrobial dressing (C) Signup and view all the answers

How can the location of umbilical artery catheter tips be confirmed?

Ultrasonography or fluoroscopy (A) Signup and view all the answers

What is the maximum sterile barrier precaution required during vascular access procedures?

Using a full sterile field with caps, masks, gowns, and gloves (A) Signup and view all the answers

Which technique aids in identifying catheter tip location by injecting normal saline?

Ultrasonography (B) Signup and view all the answers

Which imaging technique is considered particularly helpful for confirming catheter tip location in challenging cases?

Fluoroscopy (A) Signup and view all the answers

What is NOT a contraindication for placing an umbilical artery catheter?

Severe dehydration (B) Signup and view all the answers

What is the primary use of an umbilical artery catheter?

Blood sampling and monitoring blood pressure (C) Signup and view all the answers

Which position is recommended for the tip of a low umbilical artery catheter?

Below the renal arteries and above the aortic bifurcation (C) Signup and view all the answers

What equipment is essential for the insertion of an umbilical artery catheter?

Umbilical artery catheter and sterile tray with barrier components (D) Signup and view all the answers

Which of the following does NOT compare favorably to radiography for confirming catheter tip location?

Physical examination (D) Signup and view all the answers

What is the role of saline injection during tip location confirmation?

To enhance imaging clarity during echocardiography (A) Signup and view all the answers

Which of the following conditions is an indication for using an umbilical artery catheter?

Continuous blood pressure monitoring (D) Signup and view all the answers

Which procedure should be emphasized as part of the pre-insertion assessment for vascular access devices?

Physical exam of the site (C) Signup and view all the answers

What indicates the presence of thrombosis when assessing veins for catheter insertion?

Non-compressible or partially compressible veins (A) Signup and view all the answers

Which of the following factors should be considered for site selection of a tunneled venous catheter?

Barriers to secure dressing application (B) Signup and view all the answers

Involving which professional is crucial during the planning of catheter insertion for pediatric patients?

Child Life Specialists (C) Signup and view all the answers

What should be avoided when selecting veins for catheter advancement?

Using non-compressible veins (D) Signup and view all the answers

What role does the assessment of skin condition play in the planned insertion site?

It identifies lesions or conditions that may affect catheter placement (C) Signup and view all the answers

What aspect of a patient's activities should be assessed when selecting a CVAD site?

The patient's daily routines and occupations (B) Signup and view all the answers

Which of the following is not a consideration when assessing for medical devices in the planned vessel area?

Patient’s weight and BMI (D) Signup and view all the answers

What is a key characteristic of an effective antiseptic used in skin preparation?

It inhibits microorganisms on the skin (C) Signup and view all the answers

What patient-related factor can influence the risk of accidental catheter dislodgement?

The location of the planned insertion site (C) Signup and view all the answers

What is an important step to take before device insertion to ensure proper skin preparation?

Using a chemical agent that limits infections (B) Signup and view all the answers

What is the primary reason Chlorhexidine Gluconate is preferred as a skin antiseptic according to various organizations?

It has a broad spectrum of activity and can bond with skin. (D) Signup and view all the answers

Which property is NOT ideal for skin antiseptic agents?

High systemic absorption into the bloodstream (A) Signup and view all the answers

What effect does soap have on Chlorhexidine Gluconate when used as a disinfectant?

Inactivates its antibacterial properties (A) Signup and view all the answers

Which factor does NOT influence the activity and effectiveness of an antiseptic solution?

The humidity of the environment (C) Signup and view all the answers

What is the recommended application technique for Chlorhexidine Gluconate to ensure effectiveness?

Use back-and-forth motion for a minimum of 30 seconds. (C) Signup and view all the answers

Which component is critical to the bactericidal action of Chlorhexidine Gluconate?

Its ionic bond with cellular structures (D) Signup and view all the answers

How long should Chlorhexidine Gluconate be applied to the femoral area prior to a procedure?

2 minutes (A) Signup and view all the answers

What property allows Chlorhexidine Gluconate to remain effective in the presence of organic material?

Binding mechanism with proteins (B) Signup and view all the answers

What is the main disadvantage of using a skin antiseptic that has high systemic absorption?

It may cause toxicity in systemic circulation. (B) Signup and view all the answers

Which of the following is most critical when preparing an insertion site for a catheter?

Ensuring the skin is clean and free of contaminants (C) Signup and view all the answers

What is the recommended disinfection level for ultrasound probes used in percutaneous procedures?

Only low or intermediate level disinfection methods (B) Signup and view all the answers

Which type of technique is specifically designed to minimize pathogen transmission in medical procedures?

No Touch Technique (C) Signup and view all the answers

What is the primary role of the aseptic technique in medical device insertion?

To minimize the risk of pathogen transmission (A) Signup and view all the answers

In which setting is it acceptable to insert a Pulmonary Artery Catheter?

Bedside in critical care settings only (A) Signup and view all the answers

Which of the following aspects is critical when selecting a site for catheter insertion?

Assessment of the site for skin conditions (A) Signup and view all the answers

What must be completed before performing an arterial catheter insertion?

Obtaining informed consent for any catheter insertion (C) Signup and view all the answers

During device insertion, which action is explicitly discouraged to ensure safety?

Touching the infusion items before insertion (D) Signup and view all the answers

What is vital for effective sterilization of ultrasound probes according to manufacturer guidelines?

Referencing manufacturer’s instructions for use (A) Signup and view all the answers

What practice ensures that the areas of the items to be infused remain uncontaminated before insertion?

Implementation of the No Touch Technique (A) Signup and view all the answers

Why is it essential to explain the risks, benefits, and alternatives of sedation to patients or their families?

To fulfill ethical and legal obligations (A) Signup and view all the answers

What is the recommended duration for applying chlorhexidine on the planned insertion site before vascular access?

30 seconds (A) Signup and view all the answers

Which of the following methods is an effective alternative to medication for patient comfort during procedures?

Virtual reality techniques (A) Signup and view all the answers

What action should be taken if the insertion site is hairy?

Clip hair with surgical clippers (D) Signup and view all the answers

When should adhesive engineered securement devices (ESDs) be replaced according to standard guidelines?

Every 7 days (A) Signup and view all the answers

What is the primary goal of performing a time-out before a CVAD insertion?

To confirm patient identity and procedure details (D) Signup and view all the answers

What type of dressing is recommended for all CVADs as a prevention strategy against CLABSI?

Antimicrobial dressing (B) Signup and view all the answers

In addition to proper hand hygiene, what practice is crucial prior to all patient contacts?

Carrying out a time-out procedure (A) Signup and view all the answers

What should be done to ensure skin antisepsis at the planned insertion site?

Use friction to apply an adequate amount of chlorhexidine (B) Signup and view all the answers

What is considered a necessary intervention for ensuring the comfort of patients during the insertion of a vascular access device?

Keeping the patient adequately warm and comfortable (D) Signup and view all the answers

What is the primary purpose of stability offered by manufactured securement devices?

To prevent migration and loss of catheter tip position (A) Signup and view all the answers

What is required for iodine to effectively function as an antiseptic on the skin?

It must contact the skin for at least two minutes. (B) Signup and view all the answers

What is the main risk associated with the use of lodophor solutions in neonates?

Hypothyroidism induction. (D) Signup and view all the answers

Which property of 70% isopropyl alcohol limits its effectiveness as an antiseptic?

It lacks residual antimicrobial properties after evaporation. (D) Signup and view all the answers

What is a consideration when using adhesive removers?

They can damage the skin if not used carefully. (B) Signup and view all the answers

Which characteristic is essential for liquid barrier films used as skin protectants?

They protect skin integrity and should not touch the insertion site directly. (A) Signup and view all the answers

What is a significant feature of 70% isopropyl alcohol’s method of action?

It denatures cell proteins and dissolves lipids. (A) Signup and view all the answers

What is crucial to ensure when applying a skin protectant before securing transparent dressings?

You must allow it to dry completely before applying any dressing. (A) Signup and view all the answers

How does the presence of organic matter affect lodophor solutions?

It neutralizes the iodine, making it ineffective. (D) Signup and view all the answers

What skin condition makes the use of liquid barrier films particularly beneficial?

Thin, fragile skin. (D) Signup and view all the answers

What safety concern is associated with 70% isopropyl alcohol during its application?

Its flammability poses a risk until it has evaporated. (B) Signup and view all the answers

What is the primary reason for allowing the skin antiseptic to dry completely before proceeding with a dressing change?

It prevents a skin reaction and ensures effectiveness. (A) Signup and view all the answers

What procedure should be performed prior to administering infusates through a CVAD?

Verify blood return and assess for patency (B) Signup and view all the answers

What volume of syringe is recommended for assessing CVAD patency?

10 ml or larger (B) Signup and view all the answers

Which of the following antiseptics should be used with caution in premature infants and children under 2 months of age?

Alcoholic chlorhexidine gluconate >0.5% (C) Signup and view all the answers

What is the recommended time frame for changing TSM dressings when replacing peripheral IVs?

Every 7 days or when non-adherent (C) Signup and view all the answers

What should be done if resistance is encountered while flushing a CVAD?

Check for kinks in the catheter (A) Signup and view all the answers

Why is it important to assess for allergies before using Heparin as a locking solution?

Heparin can cause serious allergic reactions (B) Signup and view all the answers

When documenting a dressing change, which of the following items is NOT essential to include?

Name of the healthcare provider who performed the change (A) Signup and view all the answers

Which statement accurately describes the recommended practice for needleless connector changes?

Change needleless connectors with every dressing change or as required. (D) Signup and view all the answers

What is the recommended flush solution after administering viscous infusates through a CVAD?

0.9% sodium chloride (D) Signup and view all the answers

What type of dressing is recommended to prevent catheter movement and accidental dislodgement?

Engineered securement device (D) Signup and view all the answers

Which of the following should NOT be used to flush a CVAD if the infusate is incompatible with sodium chloride?

0.9% sodium chloride (A) Signup and view all the answers

In which scenario is it advisable to use larger flushing volumes for CVAD clearance?

During blood component transfusions (B) Signup and view all the answers

Which of the following best describes the recommended skin antiseptic for central venous access device (CVAD) dressing changes?

Alcoholic chlorhexidine gluconate >0.5% (C) Signup and view all the answers

What is the primary reason for utilizing mechanical interventions when encountering resistance in a CVAD?

To alter intrathoracic pressure (D) Signup and view all the answers

What observation at the catheter insertion site may indicate complications that require immediate attention?

Erythema, swelling, and leakage (C) Signup and view all the answers

For patients known to have a sensitivity to chlorhexidine, which alternative antiseptic is acceptable?

1% or 2% tincture of Iodine or iodophors (C) Signup and view all the answers

Which factor is NOT considered when locking a catheter with Heparin or saline?

Direction of the catheter insertion (A) Signup and view all the answers

What should be thoroughly checked if resistance is met while flushing a CVAD?

Position and components of the catheter (A) Signup and view all the answers

What is the recommended frequency for assessments of chlorhexidine-impregnated sponges or dressings after application?

At each dressing change or as prescribed (D) Signup and view all the answers

What is the recommended dressing change frequency for transparent semipermeable membrane (TSM) dressings?

At least every 7 days (B) Signup and view all the answers

Which of the following is NOT a factor that determines the frequency of site assessment for VADs?

Patient age (C) Signup and view all the answers

What is a key consideration when using lock solutions in pediatric patients?

Lower strengths of heparinized saline as per policy (A) Signup and view all the answers

In case of suspected internal occlusion of a catheter, what should be followed?

Institutional policy for clearance or replacement (A) Signup and view all the answers

What should not be considered when assessing for complications related to a VAD?

Rate of infusion (B) Signup and view all the answers

What alternative lock solution may be used in patients with recurrent CLABSI?

Ethanol (B) Signup and view all the answers

What is the recommendation for changing gauze dressings?

Every 2 days or when visibly soiled (B) Signup and view all the answers

Which dressing type allows for direct visualization and moisture release?

Transparent semipermeable membrane (TSM) dressing (C) Signup and view all the answers

What is the primary factor influencing the necessity for daily assessment of VADs?

Institutional policy (A) Signup and view all the answers

What complication should be specifically watched for with peripheral IV catheters?

Phlebitis (D) Signup and view all the answers

What is the appropriate action if a patient's CVAD dressing is found to be loose or wet?

Call the overseeing facility immediately (D) Signup and view all the answers

What position should a patient be in for safe removal of a non-tunneled CVAD?

Lying flat or in a slight Trendelenburg position (D) Signup and view all the answers

What should be done immediately after removing a catheter to ensure hemostasis?

Apply continuous pressure at the site to stop bleeding (A) Signup and view all the answers

Under which circumstance should a CVAD be replaced within 48 hours?

If aseptic technique cannot be ensured during insertion (B) Signup and view all the answers

What action should a patient be instructed to perform during catheter removal if they are awake and cooperative?

Perform the Valsalva maneuver or hum (A) Signup and view all the answers

What should be done if a patient exhibits signs of phlebitis at the catheter site?

Remove the catheter immediately (D) Signup and view all the answers

Which of the following is a crucial step after catheter removal?

Keep the patient supine for at least 30 minutes (A) Signup and view all the answers

What is the immediate course of action for a CVAD that shows signs of malfunction?

Replace the device as soon as possible (B) Signup and view all the answers

What is the appropriate method to protect the catheter site after removal?

Use petroleum-based ointment and a sterile occlusive dressing (D) Signup and view all the answers

What is the appropriate patient position for the removal of tunneled CVADs unless contraindicated?

Flat or slight Trendelenburg (A) Signup and view all the answers

Which of the following conditions would indicate the need to replace a peripheral intravenous catheter (PIV) in an adult?

Insertion in the lower extremities (D) Signup and view all the answers

What is a key point to consider when removing a midline catheter?

Removed gently and slowly (C) Signup and view all the answers

What must be documented after a catheter is removed?

Catheter site and condition (A) Signup and view all the answers

When should a caregiver receive education regarding signs and symptoms of complications related to removed devices?

After the removal process is completed (A) Signup and view all the answers

Which of the following statements is true about the replacement of peripheral catheters in children?

Replacement is necessary only if complications arise. (C) Signup and view all the answers

What is a recommended action before discharge from the infusion center regarding short peripheral catheters?

Remove short peripheral catheters unless ordered otherwise (A) Signup and view all the answers

What key aspect should be included in the education provided to patients and caregivers regarding home care for VADs?

Aseptic technique and flushing protocol (D) Signup and view all the answers

What should caregivers do if a complication arises from a removed device?

Seek prompt medical attention (A) Signup and view all the answers

Which aspect of documentation is crucial when a catheter is removed?

Any difficulties experienced during removal (D) Signup and view all the answers

What is the most appropriate position for a patient during the removal of tunneled CVADs?

Flat (supine) or slight Trendelenburg position (C) Signup and view all the answers

What should be done if resistance is encountered while removing a catheter?

Do not pull against resistance and seek assistance (B) Signup and view all the answers

In which scenario should peripheral intravenous catheters (PIVs) be replaced according to best practice?

In any site other than the upper extremities as soon as possible (A) Signup and view all the answers

Which of the following must be documented after catheter removal?

Catheter length, site condition, and any difficulties (A) Signup and view all the answers

What is a critical aspect of patient education related to home care for vascular access devices (VADs)?

Daily site assessment and recognizing complications (B) Signup and view all the answers

Which of the following is NOT a recommended action following the removal of a non-tunneled CVAD?

Leaving the site uncovered to air out (D) Signup and view all the answers

How should peripheral catheters in children be replaced?

Only when there are clear clinical indications (D) Signup and view all the answers

What should be included in patient education regarding complications after the removal of a VAD?

Signs of phlebitis, fever, and drainage should be monitored (B) Signup and view all the answers

What documentation is crucial when a catheter is removed with noted difficulties?

Difficulties and any interventions used, along with patient response (C) Signup and view all the answers

What is a potential complication when performing vascular access procedures on patients with an existing pneumothorax?

Creation of bilateral pneumothoraces if not positioned properly (A) Signup and view all the answers

Which symptom might indicate the presence of a pneumothorax during vascular access procedures?

Sudden cough upon insertion (B) Signup and view all the answers

Which of the following is an appropriate initial treatment for a small pneumothorax?

Observation for 24-48 hours (A) Signup and view all the answers

In the event of an air embolus, which symptom may the patient experience?

Increased heart rate (B) Signup and view all the answers

What is a significant risk associated with using ultrasound guidance during central venous access device (CVAD) insertion?

Potential misinterpretation of vessel anatomy (C) Signup and view all the answers

What is the best method to determine the extent of a hemothorax following a vascular access procedure?

Chest radiography or CT imaging (B) Signup and view all the answers

Which preventative measure should be taken to minimize complications during CVAD insertion?

Using ultrasound guidance for all inserts (C) Signup and view all the answers

Which complication is most likely if the introducer or catheter erodes through the vein wall?

Hemothorax (C) Signup and view all the answers

What action should be taken if a tension pneumothorax is suspected during a procedure?

Call for help and prepare for needle decompression (A) Signup and view all the answers

What characteristic of a hemothorax differentiates it from a pneumothorax?

Presence of liquid in the pleural space (B) Signup and view all the answers

What is a significant factor that increases the risk of air embolism during the removal of a CVAD?

Patient's body positioning (B) Signup and view all the answers

Which symptom is most indicative of a severe air embolism?

Dyspnea (D) Signup and view all the answers

What maneuver can a patient perform to help prevent air entry during CVAD removal?

Hold their breath (A) Signup and view all the answers

What is the recommended immediate action if air embolism is suspected during CVAD use?

Place the patient on their left side in Trendelenburg position (C) Signup and view all the answers

What is the primary role of using luer lock connections in CVADs?

To provide a secure connection that minimizes air entry (D) Signup and view all the answers

What patient condition should ideally be addressed before catheter insertion to prevent complications?

Hypovolemia (B) Signup and view all the answers

Which of the following conditions makes a PICC less likely to cause air embolism?

Longer catheter length and smaller lumen size (B) Signup and view all the answers

What immediate treatment should be initiated if air is suspected in the catheter during a CVAD procedure?

Aspirate air from the catheter (B) Signup and view all the answers

Why is confirming the diagnosis of air embolism challenging?

Symptoms are often vague and non-specific (C) Signup and view all the answers

What dressing is recommended to apply immediately after removing a CVAD to minimize risk of air entry?

Petroleum-based gauze and occlusive dressing (A) Signup and view all the answers

What is a common cause of a catheter fragment inadvertently becoming an embolus?

Shearing of catheter or guide wire against resistance (D) Signup and view all the answers

Which action can help prevent a catheter or wire embolus during removal?

Removing the needle and guide wire together if resistance is encountered (C) Signup and view all the answers

What syndrome occurs when a catheter is compressed between the first rib and clavicle?

Pinch-Off Syndrome (A) Signup and view all the answers

How can the risk of Pinch-Off Syndrome be minimized during catheter insertion into the subclavian vein?

Entering laterally through the axillary vein (D) Signup and view all the answers

What is a crucial step to ensure prior to completing a procedure involving a guidewire?

Confirming the guidewire is intact and removed (B) Signup and view all the answers

What type of devices should be used to minimize the risk of complications during pressure injections?

Pressure injectable devices (C) Signup and view all the answers

What can happen if resistance is felt while flushing a catheter with a small syringe?

Catheter may rupture if excessive force is applied (D) Signup and view all the answers

Which of the following best describes a potential complication of catheterization into the subclavian vein?

Pneumothorax from needle insertion (C) Signup and view all the answers

What should be avoided to reduce the risk of catheter breakage during placement?

Advancing the catheter against resistance (B) Signup and view all the answers

What factor can contribute to the risk of a guidewire becoming an embolus?

Improper advancement or redirection of the needle (D) Signup and view all the answers

What symptoms may indicate a catheter fracture?

Dyspnea and tachycardia (A) Signup and view all the answers

What is a potential complication of leaving a catheter fragment in-situ?

Septic thrombophlebitis and pulmonary embolism (B) Signup and view all the answers

Which of the following is a treatment option for managing a catheter fragment or embolus?

Notify licensed independent practitioner (A) Signup and view all the answers

What should be emphasized in the prevention of catheter-related arrhythmias?

Maintaining optimal catheter tip position and stabilization (D) Signup and view all the answers

What could be a reason for choosing left-sided catheter insertion?

To allow more length before reaching sensitive areas of the heart (D) Signup and view all the answers

Which symptom is NOT associated with aberrant heart rhythms caused by catheter or wire?

Dizziness (B) Signup and view all the answers

What is a critical practice to verify prior to catheter removal?

Documenting catheter length and inspecting the tip (B) Signup and view all the answers

What approach can be taken to manage a suspected catheter embolus effectively?

Apply a tourniquet high in the axilla while restricting venous blood flow (B) Signup and view all the answers

Which of the following is NOT a symptom of cardiac arrhythmias linked to catheter placement?

Peripheral edema (D) Signup and view all the answers

What is the primary purpose of using tip location technology during catheter insertion?

To ensure the catheter is placed properly and in the correct position (C) Signup and view all the answers

What is the primary method to confirm successful arterial access before catheter advancement?

Ultrasound assessment of the needle and/or wire (D) Signup and view all the answers

Which of the following symptoms is NOT typically associated with unintended arterial cannulation?

Reduced blood pressure and faint pulse (D) Signup and view all the answers

What immediate action should be taken if arterial access cannot be ruled out during catheter insertion?

Remove the needle or wire and refrain from further dilation (D) Signup and view all the answers

What is a distinctive characteristic of nerves visualized on ultrasound?

They have a similar acoustic impedance to soft tissues (A) Signup and view all the answers

In case of unintended cannulation with a large bore catheter, what is the recommended approach?

Leave the dilator in place and consult a specialist for removal (D) Signup and view all the answers

Which of the following factors should NOT be monitored post-cannulation to prevent complications?

Patient temperature (A) Signup and view all the answers

What is a potential outcome of nerve injury during CVAD insertion?

Loss of function in the affected extremity (A) Signup and view all the answers

Which action is incorrect when identifying possible arterial access complications?

Assessing for dark, non-pulsatile blood flow (D) Signup and view all the answers

When might a healthcare provider escalate care immediately following arterial cannulation?

In the presence of uncontrolled bleeding and distal numbness (C) Signup and view all the answers

What is a potential consequence of inadequate device securement during an IV insertion?

Higher risk of vessel trauma leading to phlebitis (C) Signup and view all the answers

Which of the following is NOT a symptom of phlebitis?

Fever (B) Signup and view all the answers

What is a recommended practice to ensure catheter longevity in vascular access?

Utilize ultrasound for inserting all CVADs (D) Signup and view all the answers

When treating phlebitis, which action should be taken immediately?

Stop infusion immediately and do not flush (B) Signup and view all the answers

Which method is essential in preventing phlebitis related to infusate characteristics?

Choose VAD type suitable for infusate qualities (A) Signup and view all the answers

What should be done if extravasation occurs during IV therapy?

Notify the licensed independent practitioner immediately (D) Signup and view all the answers

Which of the following conditions can lead to phlebitis due to vessel weakening?

Use of hyperosmolar infusates (A) Signup and view all the answers

What is the role of routine site assessment in IV therapy?

It assists in early detection of complications (D) Signup and view all the answers

Which statement best reflects the correct management for a patient with phlebitis?

Monitor the site and avoid pressure application (C) Signup and view all the answers

What should be done first if there are signs of bacterial phlebitis?

Remove the catheter immediately. (D) Signup and view all the answers

Which symptoms indicate the potential presence of venous thrombosis?

Erythema and palpable cord. (C) Signup and view all the answers

What is an appropriate action for treating chemical phlebitis?

Alter the infusion medication or rate. (D) Signup and view all the answers

Which technique helps in preventing venous thrombosis during catheter insertion?

Using proper skin preparation and venipuncture techniques. (C) Signup and view all the answers

What should be reinforced to patients and caregivers regarding potential complications?

Immediately report any signs of complications. (A) Signup and view all the answers

What is a key consideration concerning catheter site selection?

Select an insertion site based on prescribed therapy and vessel size. (D) Signup and view all the answers

Which care action is for suspected mechanical phlebitis after catheter insertion?

Elevate the extremity and monitor symptoms. (D) Signup and view all the answers

What is the primary response required if symptoms of phlebitis continue after initial intervention?

Remove the catheter. (C) Signup and view all the answers

Which of the following is a risk factor for developing venous thrombosis?

Long-term catheter placement without assessment. (B) Signup and view all the answers

What is essential for proper management and care of a catheter insertion site?

Follow institutional policy for routine assessments. (C) Signup and view all the answers

Which of the following is a primary treatment for chemical phlebitis?

Alter the medication, dilution, or rate of infusion (C) Signup and view all the answers

What is the primary cause of mechanical phlebitis?

Excessive movement or manipulation of the cannula (D) Signup and view all the answers

Which of the following statements best describes a significant risk factor for phlebitis related to chemical causes?

Injection of solutions that are acidic or alkaline (C) Signup and view all the answers

What action should be taken immediately upon the first signs of phlebitis?

Stop the infusion at the first sign of phlebitis (D) Signup and view all the answers

Which option could contribute to the risk of infectious phlebitis?

Break in aseptic technique during insertion (D) Signup and view all the answers

During the treatment of mechanical phlebitis, which method is commonly recommended?

Applying heat and elevating the extremity (B) Signup and view all the answers

What type of chemical infusate is most likely to irritate the vein and cause phlebitis?

Hyperosmolar glucose solution (D) Signup and view all the answers

Which of the following is NOT a typical symptom of phlebitis?

Scaly skin at the insertion site (C) Signup and view all the answers

What characterizes the inflammation associated with phlebitis?

It is most commonly found in superficial veins (D) Signup and view all the answers

Which of the following actions is least likely to help alleviate symptoms of mechanical phlebitis?

Applying a cold pack to the site (A) Signup and view all the answers