IV IV Site Care & Maintenance 2

Question 1

What is the recommended 'scrub the hub' technique for disinfecting a needleless connector before access?

Accepted Answer

Scrub vigorously with 70% alcohol or CHG-alcohol for at least 5–15 seconds and allow to dry

Answer

Wipe once with an alcohol swab and access immediately

Answer

Spray with antiseptic and access immediately without drying

Answer

Wipe with povidone-iodine and access after 30 seconds

Question 2

A chlorhexidine gluconate (CHG) patch/disc is indicated for use at which type of IV access site?

Accepted Answer

Central venous access device (CVAD) insertion sites

Answer

Peripheral IV sites in all adults

Answer

Short-term peripheral catheter sites in neonates

Answer

Subcutaneous infusion sites

Question 3

How often should the administration set (IV tubing) for continuous infusions be changed in the absence of blood product or lipid administration?

Accepted Answer

Every 72–96 hours

Answer

Every 24 hours

Answer

Every 48 hours

Answer

Every 7 days

Question 4

When should administration tubing used to infuse blood or blood components be changed?

Accepted Answer

After every unit or after 4 hours, whichever comes first

Answer

Every 4 hours

Answer

Every 24 hours

Answer

Only when visibly soiled

Question 5

What is the first nursing action when a peripheral IV site shows signs of infiltration?

Accepted Answer

Discontinue the IV and remove the catheter

Answer

Slow the infusion rate and reassess in 30 minutes

Answer

Notify the physician before taking any action

Answer

Apply a warm compress and continue the infusion

Question 6

To confirm PICC line tip placement prior to initiating infusion, the nurse should review:

Accepted Answer

The post-insertion chest X-ray report confirming tip in the lower third of the superior vena cava or cavoatrial junction

Answer

Nurse's visual assessment of the external catheter length

Answer

Blood return upon aspiration only

Answer

Patient comfort at the insertion site

Question 7

A nurse notes that a PICC dressing is partially lifted and moist on post-insertion day 3. What is the correct action?

Accepted Answer

Change the dressing immediately using sterile technique

Answer

Reinforce the dressing with additional tape and document

Answer

Leave the dressing and schedule a routine change for day 7

Answer

Remove the PICC and insert a new peripheral catheter