PICC PICC Pharmacology & Medication Administration 2

Question 1

A patient receiving lipid emulsion via PICC develops fever, chills, and back pain shortly after starting the infusion. The nurse should first suspect:

Accepted Answer

Hypersensitivity or infusion reaction to lipid emulsion

Answer

Acute fever, chills, and back pain during lipid emulsion infusion are classic signs of a hypersensitivity or infusion reaction, requiring immediate infusion cessation and provider notification.

Question 2

What is the maximum hang time for lipid-containing parenteral nutrition (3-in-1 admixture) administered via a PICC per INS guidelines?

Accepted Answer

24 hours

Answer

Per INS guidelines, 3-in-1 TPN admixtures containing lipids should be infused within 24 hours of compounding to prevent lipid destabilization and microbial growth.

Question 3

Which filter size is required when administering lipid emulsions through a PICC to prevent particulate matter from reaching the patient?

Accepted Answer

1.2-micron filter

Answer

A 1.2-micron filter is required for lipid-containing solutions because the smaller 0.22-micron filter would remove the lipid particles from the emulsion.

Question 4

A nurse is administering vancomycin via PICC and the patient develops flushing, erythema of the neck, and hypotension. This presentation is consistent with:

Accepted Answer

Red man syndrome due to rapid infusion rate

Answer

Red man syndrome is a non-allergic infusion reaction to vancomycin characterized by flushing, erythema, and hypotension that typically resolves by slowing the infusion rate.

Question 5

When co-administering two IV antibiotics through a dual-lumen PICC simultaneously, what is the most important nursing action?

Accepted Answer

Verify compatibility of both antibiotics before simultaneous administration

Answer

Before simultaneous infusion through a multilumen PICC, the nurse must verify drug-drug compatibility to prevent precipitation, inactivation, or patient harm.

(PICC) Peripherally Inserted Central Catheter Certified Nurse Practice Test

(PICC) Peripherally Inserted Central Catheter Certified Nurse Practice Test

PICC PICC Pharmacology & Medication Administration 2