A nurse suspects that a client with a vascular access device ...

[jc611]

A nurse suspects that a client with a vascular access device (VAD) may have an air embolus. The nurse expects treatment to include:
 
  A. A venogram
  B. Anticoagulant therapy
  C. A significant increase in fluid administration
  D. Positioning of the client on the left side with the head slightly elevated

Question 2

A commonality that the nurse recognizes in maintaining vascular access devices is:
 
  A. Clean technique for dressing changes
  B. Use of small syringes for irrigations
  C. Skin punctures to access the sites
  D. Heparinizing or flushing for intermittent IV infusions

[nickk12214]

Answer to Question 1

D
D. If air emboli suspected, place client on left side with head elevated slightly.
A. Obtain venogram if ordered for possibility of occlusion.
B. Administer anticoagulant therapy for possibility of occlusion.
C. Increased fluid/rate could move embolus. Maintain IV at a KVO rate.

Answer to Question 2

D
D. When not in use, no external catheter is present, and the port manufacturers recommend the port be heparinized every 4 weeks to maintain its patency.
A. Step 2. Dressing change: Perform hand hygiene, and open dressing kit in a sterile manner. Apply sterile gloves.
B. Never use a syringe less than 10 ml because the psi pressure is too high.
C. Unless the device is implanted, a skin puncture is not needed.

[jc611]

Both answers were spot on, thank you once again

[nickk12214]

Great! Please up vote