Reference no: EM133617392
Questions
1. RNs that care for patients with PICC lines are:
a) RNs that have completed educational program and have the knowledge, skill and
judgement to perform this procedure.
b) RNs that have worked in NYGH for 10 years.
c) RNs that know the patient personally.
d) RNs that are specifically trained by Boston Scientific.
2. Some of the indications for PICC line insertion are:
a) Poor venous access and/or long term IV therapy
b) Agitated patient
c) Physician did not have the time to insert subclavian line
d) PICC line catheters on stock are about to expire
3. What are some of the contraindications for PICC line insertion?
a) Patient u/o is less than 30 cc/h
b) Patient is unable to get out of bed
c) Patient has inadequate antecubital veins, anatomical distortion, injury or trauma to the area.
d) Patient is going to be in CrCU more than a week.
4. The advantage of PICC lines with PASV technology is:
a) It is much cheaper than the non PASV technology PICC lines.
b) PASV has a safety valve that is pressure sensitive that minimizes blood reflux into the catheter lumen.
c) You only need to flush the catheter once a month.
d) There are no real advantages to PASV technology.
5. To verify the location of the tip of the PICC line:
a) A chest x-ray must be obtained every week.
b) A chest x-ray must be obtained immediately after the procedure, any time that a patient comes in from another institution or the community and any time migration is suspected.
c) There is no need to obtain chest x-ray only hip x-ray.
d) A chest x-ray must be obtained immediately after every dressing change.
6. The following needs to be assessed q-shift and documented clearly on the nursing notes :
a) Patient's blood sugars
b) Patient's MRN number
c) Insertion site including the dressing, vein track, catheter, infusion pump, IV tubing and presence of any complications related to the catheter or the tip location.
d) Insertion site, the size of the catheter, and the colour and smell of the dressing.
7. To minimize the pressure exerted within the catheter when flushing, one must use:
a) 10cc syringe
b) 1 cc syringe
c) 3cc syringe
d) 5cc syringe
8. Some of the major complication that are associated with PICC lines are:
a) Pneumothorax, hydronephrosis and hydrocephalus
b) Migration, Central Line Catheter Related Blood Stream Infection (CLCRBSI), air embolus, blockage and dysrhythmia
c) Oliguria, hypotension and bradycardia
d) Hypovolemia, tachycardia and hypertension
9. The most common vein used for PICC line insertion is:
a) Brachial
b) Ulnar
c) Femoral
d) Basilic
10. Discontinuation of PICC line can be performed by:
a) Discontinuation of a PICC line is an Added Nursing Skill and requires a physician's order. Only RNs with the knowledge, skill and judgement are allowed to discontinue the PICC line.
b) Discontinuation of a PICC line is ONA skill and can be performed by any nurse
c) Discontinuation of a PICC line does not require a physician order.
d) Discontinuation of a PICC line is only performed at Sick Kids Hospital
Please choose the following True or False
11. When changing the dressing of a PICC line the nurse does not need sterile gloves.
True False
12. When collecting blood from a PICC line the luer lock cap needs to be removed.
True False
13. When flushing a dormant port of a PICC line one must use "stop/start" pulsed technique using a 10cc syringe.
True False
14. If a patient that has a PICC line demonstrates sudden & unexpected hypoxia, respiratory distress, tachypnea, chest pain and hypotension the nurse should suspect air embolus and place the patient in left side Trendelenburg position and notify physician immediately.
True False
15. One of the assessment requirements on a patient with a PICC line includes measurement of the length of the catheter left out.
True False
16. Once a patient arrives from the radiology department post PICC line insertion a chest x-ray is always required.
True False
17. If a patient with a PICC line has unexplained fever and elevated white blood cell count, PICC line infection is to be suspected.
True False
18. A nurse assessing the vein used for PICC line placement should palpate the vein along the track for presence of pain or edema.
True False
19. If a PICC line dressing was found to have loosening of the outer border, and leakage exudate is noted, the dressing needs to be replaced immediately.
True False
20. If resistance is met when discontinuing a PICC line the nurse should stop and tape on the dressing Red Alert: "Unable to remove" sign.
True False