Week 3 Edapts: Managing Fluids and Electrolyte
Alterations Questions With Complete Solutions
It is about midway through your shift, and you are now rounding
and checking intravenous (IV) catheter sites on your clients.
You review a client's IV that is demonstrated in the image to the
right, and note that it was started 2 days ago. Which nursing
actions will you take with this IV?
a. Redress the IV.
b. Report signs of phlebitis to the provider.
c. Discontinue the IV immediately.
d. Flush the IV with normal saline.
e. Change the IV. It has been in too long.
d
Where is the distal portion of a central line ideally located after
insertion?
a. Subclavian vein
b. Inferior vena cava
c. Superior vena cava
d. Basilic artery
c
What is the most common risk associated with central line
placement?
a. Air embolism
b. Pneumothorax
,c. Bleeding
d. Infection
d
Which actions are used to reduce the risk of central line
infection? Select all that apply.
a. Chest x-ray after insertion procedure
b. Marking dressing with the date of last dressing change
c. Flushing ports with saline per facility policy
d. Documenting the amount of fluid infused during the shift
e. Dressing changes per facility policy
b, e
Doug (pronouns: he/him/his) has been in the hospital for renal
failure. He had a dialysis catheter placed in his left subclavian
area 3 days ago. Per hospital policy, a dressing change is
needed. Which actions will reduce the risk of catheter infection?
Select all that apply.
a. Using a sterile central line dressing change kit
b. Wearing a mask during the procedure
c. Cleaning around the catheter with soap and water
d. Having the client wear a mask during the procedure
e. Flushing the ports with normal saline
a, b, d
Which is true regarding central venous devices with multiple
ports? Select all that apply.
a. Each port usually empties in the same lumen inside the
device.
, b. One of the ports can be used to measure central venous
pressure.
c. Multiple medications that may be incompatible can be given
through different ports.
d. They are not placed as far into the body as other central
venous access devices.
e. They do not require sterile procedure for insertion.
b, c
Debra (pronouns: she/her/hers) is admitted with severe
pneumonia. Because of her high fever and positive blood
cultures, sepsis is a concern. The medical resident has decided to
place a central line because Debra will require additional
medication. After placement, a chest x-ray is ordered. Which are
the reasons for the chest x-ray? Select all that apply.
a. Looking for signs of infection from the central line placement
b. Placement of the central line in the superior vena cava
c. Evaluating for possible pneumothorax from the procedure
d. Reviewing to see if pneumonia is improved
e. Placement of the central line in the right subclavian artery
b, c
Mari (pronouns: she/her/hers) had a peripherally inserted central
catheter (PICC) line placed last week. According to the policy,
her central line dressing should be changed every 5-7/7-9/9-
11 days. In addition, the line should be flushed after each access
or every 24/48/72/96 hours if unused. The flush solution should
be 0.9% sodium chloride 5 mL/10 mL/15 mL/20 mL.
5-7, 24, 10mL
Alterations Questions With Complete Solutions
It is about midway through your shift, and you are now rounding
and checking intravenous (IV) catheter sites on your clients.
You review a client's IV that is demonstrated in the image to the
right, and note that it was started 2 days ago. Which nursing
actions will you take with this IV?
a. Redress the IV.
b. Report signs of phlebitis to the provider.
c. Discontinue the IV immediately.
d. Flush the IV with normal saline.
e. Change the IV. It has been in too long.
d
Where is the distal portion of a central line ideally located after
insertion?
a. Subclavian vein
b. Inferior vena cava
c. Superior vena cava
d. Basilic artery
c
What is the most common risk associated with central line
placement?
a. Air embolism
b. Pneumothorax
,c. Bleeding
d. Infection
d
Which actions are used to reduce the risk of central line
infection? Select all that apply.
a. Chest x-ray after insertion procedure
b. Marking dressing with the date of last dressing change
c. Flushing ports with saline per facility policy
d. Documenting the amount of fluid infused during the shift
e. Dressing changes per facility policy
b, e
Doug (pronouns: he/him/his) has been in the hospital for renal
failure. He had a dialysis catheter placed in his left subclavian
area 3 days ago. Per hospital policy, a dressing change is
needed. Which actions will reduce the risk of catheter infection?
Select all that apply.
a. Using a sterile central line dressing change kit
b. Wearing a mask during the procedure
c. Cleaning around the catheter with soap and water
d. Having the client wear a mask during the procedure
e. Flushing the ports with normal saline
a, b, d
Which is true regarding central venous devices with multiple
ports? Select all that apply.
a. Each port usually empties in the same lumen inside the
device.
, b. One of the ports can be used to measure central venous
pressure.
c. Multiple medications that may be incompatible can be given
through different ports.
d. They are not placed as far into the body as other central
venous access devices.
e. They do not require sterile procedure for insertion.
b, c
Debra (pronouns: she/her/hers) is admitted with severe
pneumonia. Because of her high fever and positive blood
cultures, sepsis is a concern. The medical resident has decided to
place a central line because Debra will require additional
medication. After placement, a chest x-ray is ordered. Which are
the reasons for the chest x-ray? Select all that apply.
a. Looking for signs of infection from the central line placement
b. Placement of the central line in the superior vena cava
c. Evaluating for possible pneumothorax from the procedure
d. Reviewing to see if pneumonia is improved
e. Placement of the central line in the right subclavian artery
b, c
Mari (pronouns: she/her/hers) had a peripherally inserted central
catheter (PICC) line placed last week. According to the policy,
her central line dressing should be changed every 5-7/7-9/9-
11 days. In addition, the line should be flushed after each access
or every 24/48/72/96 hours if unused. The flush solution should
be 0.9% sodium chloride 5 mL/10 mL/15 mL/20 mL.
5-7, 24, 10mL
