Exam (elaborations)
NURS 611 Exam 1: Questions With Complete Answers
- Course
- Institution
NURS 611 Exam 1: Questions With Complete Answers
[Show more]
Content preview
NURS 611 Exam 1: Questions With Complete Answerspurpose of IV therapy Right Ans - hydration
nutrition
med administration
choosing vascular access Right Ans - based on medications needed to be
administeres, length of stay/care w/ goal of minimizing # of accesses,
attempts, and risk for adverse reaction
access standards of care Right Ans - location
gauge size
# of attempts
chlorhexidine
bacteriostatic dressings/caps
scrub hub (15 seconds)
site check
environment
flushing (3-5cc PIV, 10cc CIV)
blood return
continuous IV site check Right Ans - performed q/h
intermittent IV site check Right Ans - performed Q8H and/or prior to med
administration
tubing standards of care Right Ans - never leave tubing uncapped
change continuous tubing Q96H
change TPN tubing Q24H
change blood product tubing every unit
peripheral IV Right Ans - short term catheter inserted into any vein that is
not in the chest or abdomen
function: non irritating and non vesicant meds
dwell time: therapy > 5 days
peripheral IV sites Right Ans - cephalic, basilic, saphenous, external jugular,
antecubital, dorsal venous, scalp
,care of peripheral line Right Ans - assess, flush for patency, maintain
dressing, removal
catheter sizes and flow rates Right Ans -
midline catheters Right Ans - "long peripheral line"// sterile
location: terminates in area of axillae
meds: blood draw
dwell time: up to 4 weeks
midline catheter sites Right Ans - basilic and cephalic veins
midline catheter uses Right Ans - blood draw
PPN
pts with difficult IV access
central line (CVAD) Right Ans - tip terminates in the SVC
long dwell times
types of central lines Right Ans - PICC
non-tunneled CVC
tunneled CVC
implanted port
central line flushing Right Ans - some (open ended catheters) require
heparin flushes to prevent clogging with fibrin; while some (valved catheters)
do not
PICC line Right Ans - peripherally inserted central catheter
location: tip terminates in the SVS
dwell time: 6mos-1yr
PICC line uses Right Ans - vesicant therapy
meds with pH <5 or >9
long term fluid therapy (>4 weeks)
parenteral nutrition glucose ?10%
PICC line indications Right Ans - infection
endocarditis
,hyperemesis
osteomyeltits
cancer
pancreatitis
bowel obstruction
nutritional support
PICC line care Right Ans - verify placement
pink band
dressing changes q/7days
flushing with 10cc
risks
systemic bacteremia Right Ans - pt w/ this infection must have - bcxs for
48hrs before a picc can be placed
lumens Right Ans - each provides independent access to venous circulation
to allow incompatible drugs or fluids to be infused simultaneously
infusion valve Right Ans - opens with minimal pressure and automatically
closes after infusion
aspiration valve Right Ans - opens for sampling and automatically closes to
resist pressure fluctuations that may cause reflux
closed valve Right Ans - remains closed during normal increases in CVP to
prevent reflux
valved catheters Right Ans - no need for heparin flush since valve is closed
when not being used so fibrin is less likely to clog line; requires 10mL NS flush
per day or before and after use instead
three way valve Right Ans - a valve with three ports (one inlet and two
outlets) used to divert flow direction and allows for blood draw
non-tunneled catheter Right Ans - catheter put directly into the subclavian
of internal jugular vein
short term use only d/t high infection rate
, tunneled catheter Right Ans - longer catheter, which is channelled under
the skin from the point of insertion in the vein to an exit site; specialized cuff
attached to line; lower infection rate
implanted ports Right Ans - type of central delivery for long term access
placed under the surface of the skin; tip in the SVC
implanted ports care Right Ans - less infection risk; accessed via huber
needle;
require:
heparin flush
weekly dressing change
needle change with each dressing
central line care Right Ans - determine NEED
verify placement (measurement)
dressing changes once a week
line length
flushing
risks
local complications Right Ans - hematoma (bruise)
inflitration
extravastation
phlebitis
thrombophlebitis
infection
systemic complications Right Ans - anaphylaxis (Latex products * typically)
air embolism
catheter embolism
sepsis
air embolism Right Ans - a bubble of air in the bloodstream; prevent by
clamping, keeping lines capped, appropriate use of IV pump, and priming your
tubing
infiltration s/s Right Ans - edema, swelling, blanching, coolness,
tenderness, discomfort
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77333 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now