CRNI Home Infusion Therapy and Patient Education Flashcards
7 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 7 CRNI Home Infusion Therapy and Patient Education flashcards as text
A home infusion patient reports that their PICC line dressing is soiled and the edge is lifting. The nurse is scheduled to visit in 3 days. What is the most appropriate instruction?
Answer: Call the infusion nurse immediately for an unscheduled dressing change
A compromised dressing over a central venous access device increases infection risk and requires prompt replacement by a qualified nurse.
When educating a patient about subcutaneous immunoglobulin (SCIG) therapy at home, which site should be included as an appropriate injection location?
Answer: Abdomen
The abdomen, thighs, and upper arms are the preferred subcutaneous injection sites for SCIG due to adequate subcutaneous tissue and ease of self-administration.
A patient on long-term home TPN develops a fever of 101.8°F. After assessing the central line, the nurse finds no local signs of infection. What is the next most appropriate step?
Answer: Obtain blood cultures peripherally and from the central line before notifying the physician
Obtaining paired blood cultures (peripheral and central) before antibiotic administration allows identification of catheter-related bloodstream infection (CRBSI).
Which parameter is most important to monitor when a home infusion patient is receiving vancomycin therapy?
Answer: Serum creatinine and trough vancomycin levels
Vancomycin is nephrotoxic; monitoring serum creatinine and trough levels ensures therapeutic dosing while minimizing kidney injury risk.
A caregiver is being taught to change an ambulatory infusion pump cassette for home antibiotic therapy. Which action during the teaching session indicates a need for further education?
Answer: Touching the cassette spike before inserting it into the drug vial
Touching the cassette spike contaminates it and increases the risk of infusion-related infection; strict aseptic technique must be maintained throughout.
A home infusion patient on parenteral iron therapy develops sudden facial flushing, urticaria, and chest tightness shortly after the infusion begins. What should the nurse do first?
Answer: Stop the infusion immediately and assess airway, breathing, and circulation
These signs indicate a potential anaphylactic or hypersensitivity reaction; stopping the infusion and assessing the ABCs is the immediate priority.
When teaching a patient about the management of an occluded implanted port, what should the nurse emphasize as the first intervention to attempt?
Answer: Use a gentle push-pull technique with a 10 mL syringe of normal saline
The push-pull technique with a 10 mL or larger syringe creates pressure gradients to dislodge a soft clot without risking catheter rupture.