NURS 480 Exam 3 Study Guide: Essential Cardiac Concepts
for Nursing | Latest verified study complete Solutions | 2026
Updates | 100% correct
CVAD & Hemodynamic Monitoring (5-7 Q’s)
Central Venous Access: invasive catheters placed in large vessels for long-term or emergent needs;
can be present for a few days to weeks
Purpose: aggressive IV fluid repletion, vesicant medications (ex: vasoactive agents or
chemotherapy), blood products, parenteral nutrition, blood sampling, hemodynamic monitoring
Types: Central line (tunneled vs non-tunneled), peripherally inserted central line, cordis,
implanted port
CLABSI Prevention: sterile insertion, maintain sterility of line, keep insertion site & dressing
clean/dry/intact, sterile dressing changes Q7days MINIMUM, Chlorhexidine bath Q24H,
proper hand hygiene, avoid femoral sites if possible, assess need for line daily (remove
ASAP), scrub the hub!!!, antiseptic caps (ex: those green caps)
Hemodynamic Monitoring: invasive monitoring of pressure exerted in the vessels and in heart
chambers; monitors movement of blood within the heart
1. Arterial Blood Pressure: monitors BP in patient’s artery & allows for frequent blood draws
***Usually used when pt is receiving vasoactive infusions
CANNOT infuse medications through arterial line
MUST be inserted with sterile technique
REQUIRES frequent ABG monitoring to optimize mechanical ventilation
Secured with sutures or securement device
CONTRAINDICATIONS: negative Allen’s test (lack of collateral circulation), vascular
disease, synthetic grafts, severe hematologic disorders, sclerotic vessels (stiff),
vasospasms
, Nursing Considerations: frequent assessment, maintain sterility, prevent complications
(thrombosis, poor perfusion, necrosis, bleeding, infection, dislodgement)
When to Remove: complication present, pt no longer on vasoactive med, frequent blood
draws no longer needed, when a series of non-invasive BPs are accurate
for Nursing | Latest verified study complete Solutions | 2026
Updates | 100% correct
CVAD & Hemodynamic Monitoring (5-7 Q’s)
Central Venous Access: invasive catheters placed in large vessels for long-term or emergent needs;
can be present for a few days to weeks
Purpose: aggressive IV fluid repletion, vesicant medications (ex: vasoactive agents or
chemotherapy), blood products, parenteral nutrition, blood sampling, hemodynamic monitoring
Types: Central line (tunneled vs non-tunneled), peripherally inserted central line, cordis,
implanted port
CLABSI Prevention: sterile insertion, maintain sterility of line, keep insertion site & dressing
clean/dry/intact, sterile dressing changes Q7days MINIMUM, Chlorhexidine bath Q24H,
proper hand hygiene, avoid femoral sites if possible, assess need for line daily (remove
ASAP), scrub the hub!!!, antiseptic caps (ex: those green caps)
Hemodynamic Monitoring: invasive monitoring of pressure exerted in the vessels and in heart
chambers; monitors movement of blood within the heart
1. Arterial Blood Pressure: monitors BP in patient’s artery & allows for frequent blood draws
***Usually used when pt is receiving vasoactive infusions
CANNOT infuse medications through arterial line
MUST be inserted with sterile technique
REQUIRES frequent ABG monitoring to optimize mechanical ventilation
Secured with sutures or securement device
CONTRAINDICATIONS: negative Allen’s test (lack of collateral circulation), vascular
disease, synthetic grafts, severe hematologic disorders, sclerotic vessels (stiff),
vasospasms
, Nursing Considerations: frequent assessment, maintain sterility, prevent complications
(thrombosis, poor perfusion, necrosis, bleeding, infection, dislodgement)
When to Remove: complication present, pt no longer on vasoactive med, frequent blood
draws no longer needed, when a series of non-invasive BPs are accurate
