Exam & Evaluation (PICC Line Care and Maintenance)
Questions: Please respond to following statements.
What is an appropriate dwell time for a PICC line?
Any of the above
Complications of the PICC line include:
All of the above
An indication for using a PICC line is infusion of hyperosmolar fluids.
The optimum vein for the insertion of a PICC catheter is the:
median cubital vein
An appropriate place for the end of PICC line to rest is in the superior vena cava.
A midclavicular placement of a PICC line is when the tip of the catheter rests:
in the right atrium
in the superior vena cava
in the proximal axillary or subclavian vein
none of the above
A midline placement of a PICC line means that the tip is located in the right atrium.
Occlusion of a PICC line can occur due to:
all of the above
PICC related DVT is associated with
history of DVT
recent surgery lasting more than 1 hour
large catheter diameter
all of the above
Changing needleless connectors every 48 hours reduces the risk of CRBSI
Which step in the PICC line dressing change procedure is not correct?
Explain the procedure to the patient.
carefully lift the distal dressing edge toward the upper arm.
Apply antimicrobial ointment such as polysporin to the site.
Secure the loose catheter.
In the case of a PICC line problem, it is important for the patient to verbalize the reasons for calling the physician or home health care.
Handwashing is an important component of maintaining catheter asepsis.
The home care visit frequencies may need to be altered based upon the needs of the patient and caregiver.
Documentation of the PICC dressing change should include a description of the dressing change procedure, assessment of the site, and tolerance of patient to care and teaching.
Blood pressure cuffs and tourniquets should not be used on an arm where a PICC line has been placed.
Intravenous tubing used with PICC lines must be replaced every 48 hours.
Midline catheters can by used for which of the following?
Solutions with a pH ranging from 5-9
Removal of a PICC line should occur in which of the following ways?
Slow, steady pulling
Inch by inch removal
None of the above
After the PICC is removed which of the following must occur?
Apply pressure to achieve hemostasis
Inspect the tip for shearing or damage
Measure the catheter length
All of the above.
According to the CDC, a PICC catheter should be removed if the patient is running a fever.
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