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Exam & Evaluation (PICC Line Care and Maintenance)
 
Questions: Please respond to following statements.

1 What is an appropriate dwell time for a PICC line?
  1 year
  6 months
  8 weeks
  Any of the above
2 Complications of the PICC line include:
  thrombophlebitis
  catheter migration
  CRBSI
  All of the above
3 An indication for using a PICC line is infusion of hyperosmolar fluids.
True     False
4 The optimum vein for the insertion of a PICC catheter is the:
  basilic vein
  median cubital vein
  cephalic vein
5 An appropriate place for the end of PICC line to rest is in the superior vena cava.
True     False
6 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
7 A midline placement of a PICC line means that the tip is located in the right atrium.
True     False
8 Occlusion of a PICC line can occur due to:
  chemical precipitates
  thrombus
  catheter malposition
  all of the above
9 PICC related DVT is associated with
  history of DVT
  recent surgery lasting more than 1 hour
  large catheter diameter
  all of the above
10 Changing needleless connectors every 48 hours reduces the risk of CRBSI
True     False
11 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.
12 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.
True     False
13 Handwashing is an important component of maintaining catheter asepsis.
True     False
14 The home care visit frequencies may need to be altered based upon the needs of the patient and caregiver.
True     False
15 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.
True     False
16 Blood pressure cuffs and tourniquets should not be used on an arm where a PICC line has been placed.
True     False
17 Intravenous tubing used with PICC lines must be replaced every 48 hours.
True     False
18 Midline catheters can by used for which of the following?
  All solutions
  Solutions with a pH ranging from 5-9
  Hyperosmolar fluids
  Saline only
19 Removal of a PICC line should occur in which of the following ways?
  Slow, steady pulling
  Rapid removal
  Inch by inch removal
  None of the above
20 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.
21 According to the CDC, a PICC catheter should be removed if the patient is running a fever.
True     False
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