AVA CERTIFICATION EXAM; VASCULAR ACCESS DEVICES QUESTIONS AND VERIFIED ANSWERS, Exams of Nursing

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In the presence of a newly placed automatic intracardiac defibrillator or pacemaker - ANSWER Avoid PICC insertion on ipsilateral side for six months CVAD insertion in the presents of an IVC filter - ANSWER Can Inadvertently trap wires in the filter PIV is indicated for adequate venous availability for indicated therapy. This includes - ANSWER Non-vesicants and non- irritants with a pH 5 to 9 and osmolality <600 mOSm/L PICCS can be utilized for - ANSWER Chemotherapy, TPN, IV solutions and medication, blood products, plasmapheresis, hemodialysis, diagnosing, frequent blood sampling. Power Injectable devices are made of polyurethane and withstand high pressure of >300 pounds per square inch to be used during - ANSWER CT or MRI scan Tunneled CVAD may be indicated for infants and toddlers receiving - ANSWER TPN Axillary lymph node dissection including sentinel node biopsy, requires special considerations with vascular access placements - ANSWER Use contralateral arm for PIV or PICC placement. In morbid obesity the most appropriate vein selection may be - ANSWER The cephalic vein. Ultrasound appearance of a target vein that changes in size from large to small and back again as you move up the arm - ANSWER May represent venous dilatation from a distal stenosis or occlusion