1. The tip of a CVAD device inserted via the chest wall or upper limb should ideally be placed in the: a. lower one third of the superior vena cava b. c. lower one third of the inferior vena cava lower one third of the basilic vein d. anywhere in the subclavian vein 2. volume of flush. When blood sampling from an adult with a central line, a discard must be drawn pre-sample, with a post-sample a. 6mL, 10mL b. 6mL, 20mL C. 10mL, 10mL d. 20mL, 10mL 3. 4. 5. 6. If the catheter appears infected, do all of the following EXCEPT: a. b. C. d. Swab discharge and send for culture and sensitivity Send catheter tip for culture and sensitivity Assess patient for signs of systemic infection Leave the site open to air to assist drainage Chest pain, shortness of breath and cyanosis are signs of: a. b. A localized PICC-related infection Pinch-Off Syndrome c. A venous thrombosis d. An embolism When accessing a CVAD, always use at least a a. 5mL b. 3mL c. 10mL d. 20mL -sized syringe. A turbulent, pulsating flush method is used when flushing a CVAD because it: reduces the risk of pneumothorax. a. reduces the PPSI pressure on the catheter. b. c. d. eliminates the need for a heparin flush. helps to dislodge fibrin and medication residue from the internal lumen.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Answer the questions

1.
The tip of a CVAD device inserted via the chest wall or upper limb
should ideally be placed in the:
a.
lower one third of the superior vena cava
b.
c.
lower one third of the inferior vena cava
lower one third of the basilic vein
d.
anywhere in the subclavian vein
2.
volume of
flush.
When blood sampling from an adult with a central line, a discard
must be drawn pre-sample, with a
post-sample
a.
6mL, 10mL
b.
6mL, 20mL
C.
10mL, 10mL
d.
20mL, 10mL
3.
4.
5.
6.
If the catheter appears infected, do all of the following EXCEPT:
a.
b.
C.
d.
Swab discharge and send for culture and sensitivity
Send catheter tip for culture and sensitivity
Assess patient for signs of systemic infection
Leave the site open to air to assist drainage
Chest pain, shortness of breath and cyanosis are signs of:
a.
b.
A localized PICC-related infection
Pinch-Off Syndrome
c.
A venous thrombosis
d.
An embolism
When accessing a CVAD, always use at least a
a.
5mL
b.
3mL
c.
10mL
d.
20mL
-sized syringe.
A turbulent, pulsating flush method is used when flushing a CVAD
because it:
reduces the risk of pneumothorax.
a.
reduces the PPSI pressure on the catheter.
b.
c.
d.
eliminates the need for a heparin flush.
helps to dislodge fibrin and medication residue from the
internal lumen.
Transcribed Image Text:1. The tip of a CVAD device inserted via the chest wall or upper limb should ideally be placed in the: a. lower one third of the superior vena cava b. c. lower one third of the inferior vena cava lower one third of the basilic vein d. anywhere in the subclavian vein 2. volume of flush. When blood sampling from an adult with a central line, a discard must be drawn pre-sample, with a post-sample a. 6mL, 10mL b. 6mL, 20mL C. 10mL, 10mL d. 20mL, 10mL 3. 4. 5. 6. If the catheter appears infected, do all of the following EXCEPT: a. b. C. d. Swab discharge and send for culture and sensitivity Send catheter tip for culture and sensitivity Assess patient for signs of systemic infection Leave the site open to air to assist drainage Chest pain, shortness of breath and cyanosis are signs of: a. b. A localized PICC-related infection Pinch-Off Syndrome c. A venous thrombosis d. An embolism When accessing a CVAD, always use at least a a. 5mL b. 3mL c. 10mL d. 20mL -sized syringe. A turbulent, pulsating flush method is used when flushing a CVAD because it: reduces the risk of pneumothorax. a. reduces the PPSI pressure on the catheter. b. c. d. eliminates the need for a heparin flush. helps to dislodge fibrin and medication residue from the internal lumen.
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