NUR 337 Revision Test Questions
Answered Correctly.
CVAD nursing assessment - Answer assess for:
-redness
-drainage
-inflammation
-swelling
-tenderness
-warmth
CVAD indications - Answer parenteral nutrition
chemotherapy, other vesicant or irritating solutions
blood products
antibiotics
IV meds or solutions (when peripheral access is limited)
central venous pressure monitoring
hemodialysis
CVAD implications - Answer 10 mL syringe or larger to flush
pulsing motion when flushing
may require heparin flushing
may have a valve that opens from pos/neg pressure when flushing or aspirating
clamp when not in use
draw blood from the distal port
turn off distal infusions for 1-5 mins before obtaining a blood sample
central line dressing change procedure - Answer review checklist
, CVAD care - Answer change dressing using sterile technique
transparent semipermeable membrane dressing: change every 5-7 days
gauze dressings: change every 48 hrs
best CVAD choice for an avid swimmer - Answer implanted port
CVAD for immediate fluid/blood replacement - Answer non-tunneled percutaneous central catheter
air embolism interventions - Answer - Immediately clamp line
- Left side Trendelenburg position
- Administer O2
straight catheter assessment - Answer allergies
mental status
urine qualities
voiding patterns: inc or dec urination
vitals: T, BP
skin assessment: hydration, skin breakdown
abd assessment: bladder distension
urine assessment - Answer color
odor
sediment, blood
amount
catheter care - Answer at least once per shift (Q8H)
perineal care
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