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A series of questions and answers related to vascular access device management, covering topics such as catheter care, dressing changes, and potential complications. It is a valuable resource for healthcare professionals preparing for certification exams or seeking to enhance their knowledge in this area.
Typology: Exams
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Why use 10 ml or larger syringe? - Answer-to minimize pressure on the catheter What do "lock" solutions (final instilled solutions) include? - Answer-normal saline or heparinized saline (10 to 1000 units per ml How often do you change gauze dressings? - Answer-at least every two days What is the preferred skin cleansing agent? - Answer-0.5% chlorhexidine preparation with alcohol Apply with friction for at least 30 seconds Allow skin to dry completely How often should you assess CVAD? - Answer-every shift for leaking or visible damage What are potential complications associated with damaged catheters? - Answer-catheter embolus, infection, infiltration, extravasation, air embolism
If the external segment of a CVAD is damaged - Answer-clamp with padded or non-toothed hemostats between the damaged lumen and patient What should you cover a damaged area on a catheter with until assessment can be made? - Answer- Sterile gauze If a repair is indicated use what repair instructions? - Answer-MANUFACTURER'S When is replacement considered? - Answer-if catheter cannot be repaired or repositioned Removal of non-tunneled short-term or acute CVAD in what position? - Answer-supine, slight Trendelenburg Instruct patient to execute what maneuver during catheter removal gently and swiftly? - Answer- valsalva Apply what to site and cover with what type of dressing when catheter is removed? - Answer-antiseptic ointment sterile occlusive dressing How long should dressing remain after catheter is removed? - Answer-24 hours or until the site has epithelialized Primary complication of catheter removal? - Answer-resistance to removal caused by venospasm of the peripheral vein especially in anxious patients Peripheral Vascular Access Device is how long? - Answer-three inches