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VA-BC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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VA-BC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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VA-BC EXAM 2024/2025 WITH 100%ACCURATE SOLUTIONS
What size needle do you need for blood?
How do you know if you cannulated an artery?
You have a 16 year old patient and the PICC appears to be on the left
side, how do you determine its in the vein and not artery? - Precise
Answer ✔✔20-24
Bright red blood
Preform ABG
Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? - Precise Answer
✔✔Midline
across abdomen
If patient states NO IV what do you?
What body position do you do for PICC removal?
What arm position for PICC removal?
When should dressing be changed? - Precise Answer ✔✔Recommend
IV
upward
arm below
,2 days with gauze, 7 days without gauze
The left SVC dumps into what?
When should the arterial line set up be changed?
How often do you change arterial lines? - Precise Answer ✔✔coronary
sinus
96 hrs
as needed
Best way to keep the pulmonary artery catheter free of infection?
How often do you change IV setups?
What does the Swan (Pulmonary artery catheter) measures? - Precise
Answer ✔✔put in sleeve
96 Hrs
CO (cardiac output)
CDC guideline for max barrier include what?
Should you cut a PICC with a distal valve?
What is optimal placement for a MIDLINE? - Precise Answer
✔✔Sterile gloves, cap, gown, full body sterile drape.
NO
1 inch below axilla
Which line has the less incidence of infection?
,What values are considered for chronic kidney?
What should you use for a HD cath? - Precise Answer ✔✔PORT
GFR under 60 and creatinine above 2
Large bore double lumen
How long should you flush for?
How long can the umbilical cord be used?
Why is vein selection harder in babies? - Precise Answer ✔✔2 times the
length of catheter
14 days
less options
Which part of the vessel has the most smooth muscle?
Abian family wants everything done even though patients outcome is
death what do you do? - Precise Answer ✔✔media
respect there cultural beliefs on death.
What should you consider for Device Selection in adults?
What are the pediatric considerations? - Precise Answer ✔✔Patient
assessment like: preference, lifestyle, willingness to preform
maintenance, history, complications, review of variables to determine
correct VAD, high risk factors, advantages and disadvantages.
limited selection, fewer veins, VAD's preserve vessels, caregiver
education, avoid scalp vad's in infants rolling, avoid lower extremity
Vad's for crawling patients.
, What are the Indications for short peripheral catheters? - Precise Answer
✔✔infusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
What are the contraindications for short peripheral catheters? - Precise
Answer ✔✔Placement into arm with fracture,trauma, infection, or
compromised circulation.
Veins in the arm on the side of a mastectomy, breast surgery, lymph
node dissection, av fistula or graft.
What are the preferred vessels for Short peripheral catheters? - Precise
Answer ✔✔metacarpal, cephalic, basilic, accessory veins in arm.
What are the insertion procedures for short peripheral catheters? -
Precise Answer ✔✔follow guidelines, aseptic technique, 2 attempts per
provider, limit of 2 providers, smallest gauge possible to deliver therapy.
What are pediatric considerations for short peripheral catheters? -
Precise Answer ✔✔Metacarpal, cephalic, basic, scalp and saphenous
veins may be used. Use imaging devices to minimize iv attempts and
secure with approved devices.
What are the indications for MIDLINE catheters? - Precise Answer
✔✔infusion for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
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