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VA-BC CERFITICATION EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE$20.49
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VA-BC CERFITICATION EXAM 2024-
2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
What is the optimal tip location for an aquapheresis catheter?
1 -2 centimeters below the axilla
What vessels are available to use with pediatric umbilical catheters?
2 umbilical arteries
1 umbilical vein
During what time frame may umbilical vessels be accessed?
Up to the 4th day of life.
What are appropriate uses of an umbilical catheter located in a VEIN?
-Blood sampling
-All infusates
What are appropriate uses of an umbilical catheter located in an ARTERY?
-Blood sampling
-No TPN or vesicant infusions
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,Site Determination:
In evaluating potential sites, what is an important but an often overlooked portion of the CVAD pre-
procedural assessment?
Physical exam
Site Determination:
Prominent superficial veins in the area of planned CVAD may indicate what?
Neighboring or central vein stenosis or thrombosis
Site Determination:
What should you assess upon physical exam when determining potential CVAD sites?
-Skin turgor with emphasis on skin condition at the planned insertion site
-Presence of any skin lesions, scars, edema, ecchymosis, or grafts
-Presence or absence of collateral veins
-Swelling of the arm, chest, face or neck
-Prominent superficial veins
Site Determination:
Why should you avoid non-compressible or partially compressible target veins?
They denote probable thrombosis
Site Determination:
What might variance in the vein diameter along the vein pathway do?
Variance in the vein diameter along the vein pathway which may interfere with catheter advancement
Site Determination:
When assessing to patient for potential CVAD sites why should you look at a recent CXR?
To check for pacemakers or Automatic Implantable Cardioverter Defibrillator (AICD), spinal rods or other
implanted devices
Skin Preparation:
What is an antiseptic?
A chemical agent that inhibits microorganisms on skin or tissue and has an effect of limiting or optimally
preventing infection.
Skin Preparation:
What is a disinfectant?
A chemical agent that destroys microorganisms on inanimate objects
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,Skin Preparation:
What is aseptic technique?
-A specific type of aseptic technique where key areas of items to be used for an infusion cannot be
touched prior to insertion.
-Once a site has been disinfected it can only be touched by the clinician if wearing sterile gloves.
-All injection ports on I.V. tubing and end caps on catheter lumens MUST be properly disinfected prior to
access
Skin Preparation:
What are the properties of ideal skin antiseptic agents?
a. Broad spectrum of activity / rapid bactericidal activity
b. Persistence or residual properties on the skin
c. Maintain its activity in the presence of organic material
d. Non-irritating or have low allergic and/or toxic responses
e. No or minimal systemic absorption
Site Preparation:
What factors may affect the activity and effectiveness of an antiseptic solution?
a. Organism's concentration in that specific area of the skin
b. Organism's composition
c. Concentration of the antimicrobial agent
d. If it is combined with other antiseptic agents (e.g. as a tincture with alcohol)
e. Duration of organism's exposure to the antimicrobial agent
Site Preparation:
What are the recommended prep agents?
a. Chlorhexidine gluconate
b. Iodophors
c. Alcohol
d. Surface disinfectant
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, e. Adhesive remover
f. Skin protectant
Site Preparation:
How is Chlorhexidine gluconate applied?
In a back-and-forth motion for a minimum of 30 seconds
Site preparation:
Against what type of organisms is Chlorhexidine gluconate effective?
gram positive and gram negative
Site preparation:
With it's strong skin binding properties, what is the residual effect of Chlorhexidine?
Up to 48 hours residual activity
Site preparation::
What is a pediatric consideration of Chlorhexidine?
USE WITH CAUTION FOR PREMATURE
INFANTS AND CHILDREN < 2 MONTHS OF AGE
Site preparation:
What are iodophors?
Solutions of iodine in complexes that contain a low amount of free iodine
Site preparation:
What solutions contain up to l0% of an iodine complex, and provide up to 1% free iodine for skin
antisepsis
Povidone iodine (e.g. Betadine™)
Site preparation:
After the application of povidone iodine, what should NOT be applied?
Alcohol
Site preparation:
What is effective against gram-positive and gram-negative bacteria, fungi, and viruses; but has minimal
effect on bacterial spores?
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