CRNI CRNI Home Infusion Therapy and Patient Education 4

Question 1

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?

Accepted Answer

Call the infusion nurse immediately for an unscheduled dressing change

Answer

A compromised dressing over a central venous access device increases infection risk and requires prompt replacement by a qualified nurse.

Question 2

When educating a patient about subcutaneous immunoglobulin (SCIG) therapy at home, which site should be included as an appropriate injection location?

Accepted Answer

Abdomen

Answer

The abdomen, thighs, and upper arms are the preferred subcutaneous injection sites for SCIG due to adequate subcutaneous tissue and ease of self-administration.

Question 3

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?

Accepted Answer

Obtain blood cultures peripherally and from the central line before notifying the physician

Answer

Obtaining paired blood cultures (peripheral and central) before antibiotic administration allows identification of catheter-related bloodstream infection (CRBSI).

Question 4

Which parameter is most important to monitor when a home infusion patient is receiving vancomycin therapy?

Accepted Answer

Serum creatinine and trough vancomycin levels

Answer

Vancomycin is nephrotoxic; monitoring serum creatinine and trough levels ensures therapeutic dosing while minimizing kidney injury risk.

Question 5

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?

Accepted Answer

Touching the cassette spike before inserting it into the drug vial

Answer

Touching the cassette spike contaminates it and increases the risk of infusion-related infection; strict aseptic technique must be maintained throughout.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI CRNI Home Infusion Therapy and Patient Education 4