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 patient receiving home enteral nutrition via a gastrostomy tube reports tube displacement. The tube has only been in place for 2 weeks. What should the nurse instruct the patient to do?
Answer: Go to the emergency department immediately without reinserting the tube
A gastrostomy tube displaced within the first 4–6 weeks has not yet formed a mature tract and requires emergency reinsertion under medical supervision to prevent stoma closure.
Which type of flush solution and frequency is recommended for maintaining patency of an implanted venous port that is not in active use?
Answer: Heparinized saline (100 units/mL) monthly
Implanted ports not in active use are typically flushed every 4 weeks (monthly) with heparinized saline per institutional protocol to maintain patency.
A home infusion nurse is assessing a patient's understanding of safe medication storage for a home parenteral nutrition solution. Which statement by the patient indicates correct understanding?
Answer: I will refrigerate my TPN at 36–46°F and remove it 1 to 2 hours before infusion.
TPN must be refrigerated at 36–46°F (2–8°C) and brought to room temperature 1–2 hours before infusion to prevent discomfort and adverse reactions.
A patient on long-term home IV antibiotics for osteomyelitis asks how to recognize a sign of thrombophlebitis at their peripheral IV site. Which response is most accurate?
Answer: Swelling and redness along the vein track above the insertion site
Thrombophlebitis presents as redness, warmth, swelling, and tenderness along the vein above the catheter tip, indicating vein inflammation.
During a home visit, a nurse finds that a patient's infusion pump has alarmed with an 'air-in-line' alert. What is the correct first action?
Answer: Clamp the tubing, stop the infusion, and locate and remove the air before restarting
Clamping the line and removing the air bubble before restarting prevents air embolism, which can be life-threatening.
A CRNI is developing a discharge teaching plan for a patient who will self-administer home IV therapy. Which learning barrier should be assessed first?
Answer: The patient's health literacy, vision, dexterity, and ability to perform aseptic technique
Assessing cognitive, physical, and literacy abilities ensures the teaching plan is realistic and that the patient can safely perform the required procedures.
A patient receiving home infusion therapy for Crohn's disease asks about the correct way to dispose of used infusion supplies and sharps at home. What is the most appropriate guidance?
Answer: Use an FDA-cleared sharps disposal container; check local regulations for full container disposal
FDA-cleared sharps containers prevent needle-stick injuries; local regulations (mail-back, drop-off sites, or household hazardous waste) govern safe container disposal.