CRNI Home Infusion Therapy and Patient Education Flashcards
6 cards from real CRNI practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CRNI Home Infusion Therapy and Patient Education flashcards as text
Which complication is most commonly associated with long-term PICC use in home infusion patients?
Answer: Upper extremity deep vein thrombosis (DVT)
Upper extremity DVT is a well-recognized PICC complication caused by vessel wall irritation and altered blood flow around the catheter.
How often should a transparent semipermeable dressing on a PICC be changed under INS guidelines?
Answer: Every 5–7 days or immediately if soiled, loose, or damp
INS guidelines recommend changing transparent semipermeable PICC dressings every 5–7 days or immediately upon compromise to maintain the sterile site barrier.
What is the primary role of the infusion nurse during a home visit for IV therapy?
Answer: Assess the patient, IV access site, and equipment; verify medication and administer or reinforce education
The home infusion nurse provides holistic care: comprehensive patient and site assessment, medication verification, administration, and patient/caregiver education reinforcement.
Which organization publishes the Infusion Nursing Standards of Practice that govern home and ambulatory infusion therapy in the US?
Answer: Infusion Nurses Society (INS)
The Infusion Nurses Society (INS) publishes the Infusion Nursing Standards of Practice, the primary evidence-based guidelines for all infusion settings including home therapy.
A home infusion patient reports redness, warmth, and swelling at the PICC insertion site. The nurse should first suspect:
Answer: Local infection or catheter-related bloodstream infection (CRBSI)
Redness, warmth, and swelling at a PICC insertion site are classic signs of local infection or early CRBSI and require immediate clinical evaluation before continuing therapy.
A home infusion patient's PICC line is occluded. What is the FIRST intervention the nurse should attempt?
Answer: Gently aspirate, then attempt a pulsatile saline flush
The initial step is gentle aspiration followed by a pulsatile saline flush; forcing a flush with a small syringe generates dangerous pressure that can rupture the catheter.