Infusion Therapy (Concepts for Interprofessional
Collaborative Care College Test Bank)
, Infusion Therapy (Concepts for Interprofessional
Collaborative Care College Test Bank)
Chapter 13: Infusion Therapy
MULTIPLE CHOICE
1.A nurse is caring for a client who has just had a central venous access line inserted. Which action should the
nurse take next?
a. Begin the prescribed infusion via the new access.
b. Ensure an x-ray is completed to confirm placement.
c. Check medication calculations with a second RN.
d. Make sure the solution is appropriate for a central
line.
ANS: B
A central venous access device, once placed, needs an x-ray confirmation of proper placement before it is used
The bedside nurse would be responsible for beginning the infusion once placement has been verified. Any IV
solution can be given through a central line.
2.A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
a. Amount of pressure in fluid container
b. Date of catheter tubing change
c. Percent of heparin in infusion
container
d. Presence of an ulnar pulse
ANS: D
An intra-arterial catheter may cause arterial occlusion, which can lead to absent or decreased perfusion to the
extremity. Assessment of an ulnar pulse is one way to assess circulation to the arm in which the catheter is
located. The nurse would note that there is enough pressure in the fluid container to keep the system flushed,
and would check to see whether the catheter tubing needs to be changed. However, these are not assessments
of greatest concern. Because of heparin-induced thrombocytopenia, heparin is not used in most institutions for
an arterial catheter.
3.A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC).
Which statement should the nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central catheter.
b. Be sure to place the arm with the central catheter in a sling during the day.
Collaborative Care College Test Bank)
, Infusion Therapy (Concepts for Interprofessional
Collaborative Care College Test Bank)
Chapter 13: Infusion Therapy
MULTIPLE CHOICE
1.A nurse is caring for a client who has just had a central venous access line inserted. Which action should the
nurse take next?
a. Begin the prescribed infusion via the new access.
b. Ensure an x-ray is completed to confirm placement.
c. Check medication calculations with a second RN.
d. Make sure the solution is appropriate for a central
line.
ANS: B
A central venous access device, once placed, needs an x-ray confirmation of proper placement before it is used
The bedside nurse would be responsible for beginning the infusion once placement has been verified. Any IV
solution can be given through a central line.
2.A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
a. Amount of pressure in fluid container
b. Date of catheter tubing change
c. Percent of heparin in infusion
container
d. Presence of an ulnar pulse
ANS: D
An intra-arterial catheter may cause arterial occlusion, which can lead to absent or decreased perfusion to the
extremity. Assessment of an ulnar pulse is one way to assess circulation to the arm in which the catheter is
located. The nurse would note that there is enough pressure in the fluid container to keep the system flushed,
and would check to see whether the catheter tubing needs to be changed. However, these are not assessments
of greatest concern. Because of heparin-induced thrombocytopenia, heparin is not used in most institutions for
an arterial catheter.
3.A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC).
Which statement should the nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central catheter.
b. Be sure to place the arm with the central catheter in a sling during the day.
