1. These types of port are designed for long term therapy such as pts receiving chemotherapy or parenteral nutrition.

A tunneled central catheter, implanted port, and peripherally inserted central catheter

2. This type of central catheter is ideal for emergency situations where short term central venous access is required for multiple therapies. a non-tunneled percutaneous central catheter.

3. A nurse is going to take a blood sample from a patient who has a triple-lumen central catheter in place for multiple therapies. What should the nurse do before taking blood? Turn off the distal infusions for 1 to 5 minutes before obtaining the blood sample.

4. True of false. The lumen with the largest diameter is the best one to withdraw a blood sample from/ True

5. The amount of aspirate to discard before collecting a blood sample is generally no more than? 10 ml

6. When flushing a central venous catheter, what size syringe should the nurse use to prevent catheter rupture? 10 ml or larger.

7. A nurse suspects an air embolism with a client who has a central venous catheter. What position should the patient be repositioned in? On his left side in Trendelenburg position

8. For a person who requires long term central venous access who does water aerobics, which of the following central venous devices is the best choice for the pt? Implanted port. The device lies beneath the skin so the pt can be immersed in water.

9. When flushing a central venous catheter/ PICC line, what type of technique is recommended? A pulsatile (push-stop-push-stop) technique. this helps create turbulence that helps clear any sediment in the line

10. PICC lines that are not in use are flushed how often? Once per week

11. For PICC flushes a volume of at least ? is appropriate for most routine flushes 5ml

12. What is heparin used for? Used to treat or prevent blood clots

13. Would it be appropriate to flush a PICC line with a non-heparinized saline solution ? Yes. Blood does not back up into the catheter's lumen (where it could clot) so there is need for the heparin

14. For a pt with a central venous access device, what measure should the nurse use to specifically prevent lumen occlusion? Clamping the extension tubing while removing a syringe from the infection cap. this type of technique prevents the reflux of blood back into the catheter

15. What technique is used to prevent catheter dislodgement? Removing the dressing from the insertion site slowly and carefully

16. What technique is used to help prevent an air embolism? have the pt lie flat when changing administration sets or injection caps

16. For the insertion of a primed needle into a pt's implanted port, what angle should the needle be? 45 degrees

17. What type of needle should an implanted port be accessed with? noncoring (Huber) needle.

18. A nurse caring for a pt who has gastric cancer is initiating an infusion of parenteral nutrition via the patients implanted port. Which of the following is an appropriate action for the nurse to take? Cover the port and the needle with a transparent dressing.

19. A nurse is preparing to flush a patients PICC. Because the patients catheter has a valved tip the nurse: Uses non-heparinized saline solution for the flush