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Manual of I V Therapeutics 6th Edition By Gorski – Test Bank

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  • ISBN-10 ‏ : ‎ 0803638469
  • ISBN-13 ‏ : ‎ 978-0803638464

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Manual of I V Therapeutics 6th Edition By Gorski – Test Bank

Chapter 8: Techniques for Initiation and Maintenance of Central Vascular Access

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. A nurse is preparing to assist a physician with the insertion of a peripherally inserted central catheter (PICC). The physician intends to use a guidewire insertion technique to insert the catheter. Which is an adjunct to guidewire insertion technique for a PICC?
a. Laser
b. Breakaway needle
c. Surgical cutdown
d. Fluoroscopy

____ 2. A nurse aspires to be able to use and manage peripherally inserted central catheters (PICCs) in the home-care environment. For the nurse to safely and legally perform this function, the nurse must:
a. hold a current license from the state.
b. be trained in a state-approved agency and show proficiency in catheter insertion and maintenance.
c. be a registered nurse (RN), meet minimal educational requirements, have employer-granted certification, and demonstrate evidence of competency.
d. be an RN or licensed practical nurse and meet minimum state-approved educational requirements.

____ 3. A nurse using a pair of scissors to remove a dressing over a tunneled catheter cuts into the catheter. Which should the nurse use to repair the catheter?
a. Any universal repair kit
b. A blunt-end needle and an injection cap system
c. The manufacturer’s repair kit
d. None. The nurse should notify the physician, because nurses do not repair central venous catheters.

____ 4. A nurse specialist is preparing to insert a peripherally inserted central catheter (PICC).Which site is best for the insertion of the PICC?
a. Basilic vein
b. Innominate vein
c. Subclavian vein
d. Internal jugular vein

____ 5. A nurse specialist is preparing to insert a peripherally inserted central catheter (PICC). Complications related to the insertion of PICCs include:
a. bleeding, malposition of the catheter, and nerve damage.
b. phlebitis, infection, and SVC syndrome.
c. thrombosis, pinch-off syndrome, and infection.
d. septicemia, twiddler’s syndrome, and thrombosis.

____ 6. An oncology nurse prepares to flush a central venous catheter (CVC) prior to the administration of chemotherapy. When irrigating a CVC, the barrel capacity of the syringe should be a minimum of:
a. 1 mL.
b. 3 mL.
c. 5 mL.
d. 10 mL.

____ 7. A nurse is to draw a blood sample for laboratory analysis from a multilumen central venous catheter. When performing this procedure, which step should the nurse take first?
a. Clean the port of the lumen with alcohol and allow it to dry.
b. Flush blood out of the pigtail or cap following the procedure.
c. Turn off infusates containing glucose or electrolyte for a full 1 minute prior to the blood draw.
d. Flush the lumen with sodium chloride after the sample is obtained.

____ 8. A nurse is preparing to assist with the insertion of a Groshong catheter. The nurse refers to the instructions regarding the use of Groshong catheters in a nursing reference book. The nurse learns that Groshong catheters differ from other central venous catheters in that they:
a. have an open-ended tip with a three-position valve that stays open all the time.
b. have a chemical makeup that allows for minimal use of heparin for flushing.
c. have a closed-end tip with a three-position pressure-sensitive valve that stays closed when not in use.
d. are available only in single-lumen type.

____ 9. A nurse is changing a client’s PICC dressing. When changing a PICC dressing, the old dressing should be detached from the:
a. distal to the proximal edge.
b. proximal to the distal edge.
c. side first, then from top to bottom.
d. side first, then from bottom to top.

____ 10. The PICC team is scheduled to remove a PICC before client discharge. Assessment of the catheter indicates the PICC and determines that the PICC is “stuck.” The most common cause of a stuck PICC is:
a. phlebitis.
b. vasospasm.
c. thrombophlebitis.
d. a catheter tear or rupture.



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