CRNI CRNI Home Infusion Therapy and Patient Education 2

Question 1

When teaching PICC line care at home, which instruction is the highest priority?

Accepted Answer

Flush the catheter with saline on the prescribed schedule to maintain patency

Answer

Scheduled saline flushing per protocol is essential to maintain catheter patency and prevent occlusion in home infusion patients.

Question 2

A home infusion patient reports the infusion is running much slower than prescribed. What should the nurse recommend assessing first?

Accepted Answer

Tubing for kinks and catheter for positional obstruction

Answer

Kinks in tubing or positional changes affecting catheter flow are the most common and easily corrected causes of slow infusion in the home setting.

Question 3

Which symptom in a home infusion patient warrants an immediate emergency call?

Accepted Answer

Sudden shortness of breath, chest pain, or fever above 38.5°C (101.3°F)

Answer

Sudden dyspnea, chest pain, or high fever can signal pulmonary embolism, air embolism, or catheter-related bloodstream infection requiring emergency evaluation.

Question 4

How should a home infusion patient properly dispose of used sharps?

Accepted Answer

In an FDA-cleared sharps disposal container following local regulations

Answer

Used sharps must go into an FDA-cleared sharps container and be disposed of per state and local regulations to prevent community needlestick injuries.

Question 5

What is the purpose of the beyond-use date (BUD) on a home infusion IV bag?

Accepted Answer

It indicates the latest time the preparation remains sterile and chemically stable

Answer

The BUD set by the compounding pharmacist based on USP <797> specifies the maximum safe-use window for the sterile preparation.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI CRNI Home Infusion Therapy and Patient Education 2