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.

2.A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?

1. Amount of pressure in fluid container

2. Date of catheter tubing change

3. Percent of heparin in infusion container

d. Presence of an ulnar pulse

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?

1. Avoid carrying your grandchild with the arm that has the central catheter.

2. Be sure to place the arm with the central catheter in a sling during the day.

3. Flush the peripherally inserted central catheter line with normal saline daily.

4. You can use the arm with the central catheter for most activities of daily living.

4.A nurse is caring for a client who is having a subclavian central venous catheter inserted. The client begins to report chest pain and difficulty breathing. After administering oxygen, which action should the nurse take next?

a. Administer a sublingual nitroglycerin tablet.

b. Prepare to assist with chest tube insertion.

c. Place a sterile dressing over the IV site.

d. Re-position the client into the Trendelenburg position.

5.A nurse is caring for a client who is receiving an epidural infusion for pain management. Which assessment finding requires immediate intervention from the nurse?

a. Redness at the catheter insertion site

b. Report of headache and stiff neck

c. Temperature of 100.1 F (37.8 C)

d. Pain rating of 8 on a scale of 0 to 10

6.A nurse assesses a client who had an intraosseous catheter placed in the left leg. Which assessment finding is of greatest concern?

1. The catheter has been in place for 20 hours.

2. The client has poor vascular access in the upper extremities.

3. The catheter is placed in the proximal tibia.

d. The clients left lower extremity is cool to the touch.

7.A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?

1. The initial site dressing is 3 days old.

2. The PICC was inserted 4 weeks ago.

3. A securement device is absent.

d. Upper extremity swelling is noted.

8.A nurse assesses a clients peripheral IV site, and notices edema and tenderness above the site. Which action