Ati central venous access devices

Patients often need central venous access for indications including ongoing hemodynamic monitoring, difficult venous access, or long-term intravenous therapy (eg, antimicrobial therapy, fluid therapy, chemotherapy).

Ati central venous access devices. MODULES. Skills Modules 3.0 is comprehensive, covering routine skills from taking and monitoring vital signs to more complex procedures like central lines and intubation. Airway management. Blood administration. Bowel elimination. *Previously Enemas. Central venous access devices. Closed-chest drainage.

ATI - Central Venous Access. Term. 1 / 8. An older patient who adheres to a regular cardiovascular rehabilitation schedule that includes water aerobics and swimming requires long-term central venous access. Which of the following central venous access devices is the best choice for allowing him to continue his aquatic program?

Skills Module 3: Central Venous Access Devices Posttest Test 100% Total Time Use: 5 min Skills Module 3: Central Venous Access Devices Posttest Test - History Date/Time Score Time Use Skills Module 3: Central Venous Access Devices Posttest Test 11/26/2023 4:15:00 PM 100% 5 min Skills Module 3: Central Venous Access Devices Posttest Test ... Central Venous catheters aka CVADs - use. -Central venous access devices or central lines. -Used for IV administration of medication and other therapies. Insertion sites. -Inserted into large veins in the central circulation. -Generally threaded into the internal or external jugular veins or into lower 3rd of vena cava that leads to an area ... Central venous access devices (CVADs) or central venous catheters (CVCs) are devices that are inserted into the body through a vein to enable the administration of fluids, blood products, medication and other therapies to the bloodstream. CVADs can be inserted into the subclavian or jugular vein (im …A central line, also known as a central venous access device (CVAD), is a thin, soft, flexible tube. This long tube, also called a catheter, is placed in a vein that leads to your heart. The other end of the CVAD catheter either exits near the surface of the skin or sits directly underneath the skin. The CVAD contains a single or multiple channels.Confirm patency of the central vascular access device (CVAD) by aspirating for blood return and flushing the CVAD using a 10-ml syringe filled with a preservative-free 0% sodium chloride solution. If patency is compromised, the catheter is leaking, or infection or infiltration is suspected, stop the procedure and notify the practitioner.A nurse is caring for a cleint who requires long-term central venous access and is an avid swimmer. Which of the following central venous access devices is the best choice for this client? A. A tunneled central catheter B. An implanted port C. A non-tunneled percutaneous central catheter D. A peripherally inserted central catheter.Old files on a computer can still be accessed by a user at any time, provided they are not corrupted. It is common to archive old files on a computer or external storage device. Fi... Use a standard medium-gauge needle to access the port B. Insert the primed needle into the port at a 45 degree angle C. Withdraw the needle after insertion, leaving the needle's sheath in place for the infusion D. Cover the device and the needle with a sterile transparent dressing, A nurse is caring for a client who requires long-term central ...

Figure. Central venous access devices (CVADs) are ubiquitous in modern healthcare, and are available in numerous designs, shapes, and sizes for insertion in several areas of the body. This overview focuses on nursing care to maintain CVADs and prevent complications, based on the recently updated Infusion Nursing Standards of Practice. 1.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. The nurse suspects an air embolism and clamps the catheter immediately. The nurse should reposition the client into which of the following positions?, A nurse is caring for a client who has a central venous ...A CVAD (central venous access devices) are indicated for clients who need: -Parenteral nutrition. -Chemotherapy or other vesicant or irritating solutions. -Blood products. -Antibiotics. -IV meds or solutions (when peripheral access is limited) -Central venous pressure monitoring. -Hemodialysis.Central Venous Access Devices (CVADs) Peripherally-inserted Central Catheters (PICCs) Non-tunneled catheters: subclavian / jugular / femoral lines. Tunneled catheters: Hickman / Broviac / Groshong / Small-bore (Hohn, Powerline) Implanted ports: Port-a-caths / Passports. Central VADs. “...first line of defense, not a device of last resort” A patient who sustained trauma from a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate central venous access for fluid & blood replacement & prophylactic antibiotic therapy. The appropriate central venous access device for this patient is. A nontunneled percutaneous central catheter.

ATI - Central Venous Access. Term. 1 / 8. An older patient who adheres to a regular cardiovascular rehabilitation schedule that includes water aerobics and swimming requires long-term central venous access. Which of the following central venous access devices is the best choice for allowing him to continue his aquatic program?ATI: Central Venous Access Devices CVADs are inserted into large veins in the central circulation and allow for administration of IV fluids, blood products, and medication. Tip of CVAD sits in the superior vena cava, tip location has to be confirmed with chest x- ray prior to use, unless it was placed under fluoroscopy Can be inserted into the internal jugular vein, subclavian vein, or ...Apply an IV securement device***. An IV securement device will help the IV to stay in place and prevent dislodgement. 2. Wrap tape around the circumference of the client's arm. 3. Tape the IV catheter's hub securely to the client's …For "ATI: Skills Module 3.0: Central Venous Access Devices". Password. Enter Password. Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today.

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Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires long-term. Central Venus access is an avid swimmer which of the following Central Venus devices is the best choice for this client., A nurse is preparing to obtain a blood sample from a client who has a triple lumen Central catheter in place. ATI Skills Module 3.0: Central Venous Access Devices. A patient who has sustained trauma from a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate central venous access for fluid and blood replacement and prophylactic antibiotic therapy. The appropriate central venous access device for ... ATI - Central Venous Access. Term. 1 / 8. An older patient who adheres to a regular cardiovascular rehabilitation schedule that includes water aerobics and swimming requires long-term central venous access. Which of the following central venous access devices is the best choice for allowing him to continue his aquatic program?ATI Central Venous Access Device. A nurse is caring for a patient who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. The nurse suspects air embolism and clamps the catheter immediately. The nurse should reposition the patient in which of the following positions?: on his left side in Trendelenburg position.A central line, also known as a central venous access device (CVAD), is a thin, soft, flexible tube. This long tube, also called a catheter, is placed in a vein that leads to your heart. The other end of the CVAD catheter either exits near the surface of the skin or sits directly underneath the skin. The CVAD contains a single or multiple channels.

Turn off the distal infusions for 1 to 5 min before obtaining the blood sample. To help ensure that the laboratory results will not be altered by the solutions infusing through the central access device, it is recommended that the nurse stop the distal infusions and clamp the tubing for 1 to 5 min before obtaining the blood sample.Peripherally Inserted Central Catheter (PICC) (See Figure 4.2 [ 7 ]) Long-term use. May be used to infuse high osmolarity solutions or antibiotic therapy. Power ports may be used for high pressure rapid infusions. Up to six months. Utilize median cubital, cephalic, basilic, or brachial veins with sufficient diameter size.Mac: Apple's Photo Stream service is supposed to be an easy way to share your photos between your Mac and your iOS device, but it doesn't always work as advertised. It's also prett...A central venous access device (CVAD) is made of a non-irritant material, for example, silicone or polyurethane, which means it can be left in for as long as clinically indicated (several weeks or months, or even longer). The CVAD may contain one or two tubes. A CVAD containing two tubes is called a double or dual lumen catheter and a CVAD ...Figure. Central venous access devices (CVADs) are ubiquitous in modern healthcare, and are available in numerous designs, shapes, and sizes for insertion in several areas of the body. This overview focuses on nursing care to maintain CVADs and prevent complications, based on the recently updated Infusion Nursing Standards of Practice. 1. Q-Chat. 1. Lu-Li-St-Sp. Study with Quizlet and memorize flashcards containing terms like An older adult patient who adheres to regular cardiovascular rehabilitation schedule that includes water aerobics and swimming requires long-term central venous access. Which of the following central venous access devices is the best choice for allowing him ... The appropriate central venous access device of this patient is: a non tunneled percutaneous central catheter. This type of central catheter is ideal for emergency situations where short-term (less than 6 weeks) central venous access is required for multiple therapies. This is the appropriate choice for this patient.A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan A. Use sterile scissors to remove the dressing from the site. B. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. C. Access the site using a … A nurse is caring for a cleint who requires long-term central venous access and is an avid swimmer. Which of the following central venous access devices is the best choice for this client? A. A tunneled central catheter B. An implanted port C. A non-tunneled percutaneous central catheter D. A peripherally inserted central catheter. Use a standard medium-gauge needle to access the port Insert the primed needle into the port at a 45° angle Withdraw the needle after insertion, leaving the needle's sheath in place for the infusion Cover the device & the needle with a sterile transparent dressing. answer. Cover the device & the needle with a sterile transparent dressing. Use a standard medium-gauge needle to access the port B. Insert the primed needle into the port at a 45 degree angle C. Withdraw the needle after insertion, leaving the needle's sheath in place for the infusion D. Cover the device and the needle with a sterile transparent dressing, A nurse is caring for a client who requires long-term central ...

Central Venous Access Devices: Implanted Port ­ Accessing and Deaccessing the Site Step by Step. SATISFACTORY / UNSATISFACTORY EVALUATOR’S COMMENTS. Implanted Port - Accessing and Deaccessing the Site. Verify prescription for accessing port. Gather necessary equipment. *Introduce yourself to the client. *Provide privacy as needed.

ATI MODULE: CENTRAL VENOUS ACCESS DEVICE. 140 terms. mmata1990. Preview. Tissue Handling. 23 terms. jochoa8. Preview. Obesity - Weight management. 29 terms. makailamuench. ... central venous catheters, central venous access devices (CVAD) purpose of central lines. to administer IV meds or therapies.Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?, A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching ...Terms in this set (45) umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long-term ...entral venous access devices should the nurse anticipate being inserted? A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10 mL syringe to prevent which of the following complications associated with central vascular devices? The nurse is preparing to obtain a blood …Central vascular access device. umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long ...In today’s fast-paced world, ensuring the security of our personal and professional spaces has become more important than ever. Access control systems play a crucial role in protec...Large veins in the central circulation and allow for administration of IV fluid, blood products, and medications. Once inserted the top of a CVAD sits in the. Superior or inferior vena cava. CVAD can be inserted into the. Replace catheter (prevent!) ATI - 348 Learn with flashcards, games, and more — for free.

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A tunneled central line is a catheter (a thin tube) that is placed in a vein for long-term use. It is most commonly placed in the neck (internal jugular) but may also be placed in the groin (femoral), liver (transhepatic), chest (subclavian) or back (translumbar). The catheter is tunneled under the skin. Central Venous Access Device.Central vascular access device. umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long ... ATI skills module 3.0 central venous access devices. Get a hint. A nurse is caring for a client who has a central venous catheter and suddenly develops dyspraxia, tachycardia and dizziness. The nurse suspects an air embolism and clamps the catheter immediately. The nurse should reposition the client into which of the following positions. Central Venous Access Devices ATI SKILL MODULE THE BASICS Central venous catheters, also known as central venous access devices (CVADs) or central lines, have become a mainstay for patients requiring intravenous (IV) administration of medications and other therapies. Unlike peripheral intravenous catheters typically inserted into the veins …Skills Modules 2. Central Venous Access Devices. Tutorial: Module: Report Created on: 2/4/2021 05:41 PM EST REP_Indv_ModuleReport_1_ Page 1 of 2. Central Venous Access Devices Posttest. 100% Post Test - History. Date/Time Score Post Test 2/4/2021 5:41:00 PM 100%. Report Created on: 2/4/2021 05:41 PM EST REP_Indv_ModuleReport_1_ Page 2 of 2ATI - Central Venous Access Devices. Flashcards; Learn; Test; Match; Q-Chat; Get a hint. What is a CVAD? Click the card to flip 👆 ... Central Venous catheters aka CVADs - use. -Central venous access devices or central lines. -Used for IV administration of medication and other therapies. Insertion sites. -Inserted into large veins in the central circulation. -Generally threaded into the internal or external jugular veins or into lower 3rd of vena cava that leads to an area ... A central line, also known as a central venous access device (CVAD), is a thin, soft, flexible tube. This long tube, also called a catheter, is placed in a vein that leads to your heart. The other end of the CVAD catheter either exits near the surface of the skin or sits directly underneath the skin. The CVAD contains a single or multiple channels.21 Central venous devices. Figure 21.1 Advantages and disadvantages of central venous access devices (CVADs). Figure 21.2 Advantages and disadvantages of each CVAD. Figure 21.3 Implantable ports. Figure 21.4 Tunnelled device. A central venous access device (CVAD) is an intravenous device that is inserted into the central … ….

21 Central venous devices. Figure 21.1 Advantages and disadvantages of central venous access devices (CVADs). Figure 21.2 Advantages and disadvantages of each CVAD. Figure 21.3 Implantable ports. Figure 21.4 Tunnelled device. A central venous access device (CVAD) is an intravenous device that is inserted into the central …Proper catheter care and flushing the central venous access device before and after medication administration and after blood draws will help to maintain catheter patency. If, despite preventive measures, a thrombotic occlusion occurs, a thrombolytic enzyme may be needed to clear the blockage. When those measures do not help, the catheter must ...Central Venous catheters aka CVADs - use. -Central venous access devices or central lines. -Used for IV administration of medication and other therapies. Insertion sites. -Inserted into large veins in the central circulation. -Generally threaded into the internal or external jugular veins or into lower 3rd of vena cava that leads to an area ...Will all mobile devices be waterproof in the near future? Learn if all mobile devices be waterproof in the near future in this article. Advertisement The greatest advantage of mobi...Furosemide ATI Medication Active learning Template; EES 150 Lesson 3 Continental Drift A Century-old Debate; Ch. 12 Test Bank - Gould's Ch. 12 Test Bank ... Central Venous Access Devices Pretest Test - Score Details of Most Recent Use COMPOSITE SCORES 71% Individual Score Skills Module 3: Central Venous Access … ATI Central Venous Access Devices. A nurse is caring for a patient who has a central venous catheter. When flushing the catheter, the nurse uses a 10-mL syringe to prevent which of the following complications associated with central vascular access devices? *When injecting fluid through a catheter, a smaller syringe generates more pressure than ... A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan A. Use sterile scissors to remove the dressing from the site. B. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. C. Access the site using a …A nontunneled percutaneous central catheter This type of central catheter is ideal for emergency situations where short term (less than 6 weeks) central venous access is required for multiple therapies. This is the appropriate choice for this client. 1/6/24, 4:21 PM ATI Pretest Centraline about:blank 2/5A nurse is caring for a patient who has a ... Ati central venous access devices, Central Venous Access Devices ATI. The Basics Central venous catheters, also known as central venous access devices (CVADs) or central lines, have become a mainstay for patients requiring intravenous (IV) administration of medications and other therapies. Unlike peripheral intravenous catheters typically inserted into the veins of the hand or forearm, central access devices are inserted into ... , We would like to show you a description here but the site won’t allow us., A central venous access device (CVAD) is made of a non-irritant material, for example, silicone or polyurethane, which means it can be left in for as long as clinically indicated (several weeks or months, or even longer). The CVAD may contain one or two tubes. A CVAD containing two tubes is called a double or dual lumen catheter and a CVAD ..., A patient who sustained trauma from a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate central venous access for fluid & blood replacement & prophylactic antibiotic therapy. The appropriate central venous access device for this patient is. A nontunneled percutaneous central catheter., ATI - IV Therapy and Peripheral Access. 10 terms. Brooke_Grajczyk. Preview. ATI: Airway management post-test. 8 terms. wnn4. Preview. Exam 4. 54 terms. Alana_Brumble. Preview. Abb. Set 4. 25 terms. danielle3406. ... Which of the following central venous access devices should the nurse anticipate being inserted., Proper catheter care and flushing the central venous access device before and after medication administration and after blood draws will help to maintain catheter patency. If, despite preventive measures, a thrombotic occlusion occurs, a thrombolytic enzyme may be needed to clear the blockage. When those measures do not help, the catheter must ..., Use a standard medium-gauge needle to access the port B. Insert the primed needle into the port at a 45 degree angle C. Withdraw the needle after insertion, leaving the needle's sheath in place for the infusion D. Cover the device and the needle with a sterile transparent dressing, A nurse is caring for a client who requires long-term central ..., CVADs differ from short peripheral IV catheters used for intravenous access because they are placed in central circulation due to the distal tip location. Figure 4.1 CVAD Insertion Sites. CVADs are used for delivery of medication, fluids, and nutrition and can remain in place long-term. They can also be used for blood draws, hemodynamic ..., Central Venous catheters aka CVADs - use. -Central venous access devices or central lines. -Used for IV administration of medication and other therapies. Insertion sites. -Inserted into large veins in the central circulation. -Generally threaded into the internal or external jugular veins or into lower 3rd of vena cava that leads to an area ... , A central venous access device (CVAD) is a special type of I.V. (intravenous) line used to give fluids, blood products and medicines. The end of the line lies near the heart in one of the body’s large veins. Since it is so close to the heart, it is important for your child’s safety to take good care of the CVAD., ATI - Central Venous Access. Term. 1 / 8. An older patient who adheres to a regular cardiovascular rehabilitation schedule that includes water aerobics and swimming requires long-term central venous access. Which of the following central venous access devices is the best choice for allowing him to continue his aquatic program?, ATI Central Venous Access Device. A nurse is caring for a patient who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. The nurse suspects air embolism and clamps the catheter immediately. The nurse should reposition the patient in which of the following positions?: on his left side in Trendelenburg position., Central vascular access device. umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long ..., Peacock TV has quickly become a popular streaming platform, offering a wide range of content for viewers to enjoy. From movies and TV shows to live sports and news, Peacock TV has ..., Use a standard medium-gauge needle to access the port B. Insert the primed needle into the port at a 45 degree angle C. Withdraw the needle after insertion, leaving the needle's sheath in place for the infusion D. Cover the device and the needle with a sterile transparent dressing, A nurse is caring for a client who requires long-term central ..., Skills Modules 3.0 Checklist: Central Venous Access Devices Implanted Port – Accessing and Deaccessing the Site www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C. PAGE 3 STEP S U EVALUATOR’S COMMENTS Clean port insertion site and 2 to 3 inches around with chlorhexidine for at least 30 seconds. Allow to dry., Central Venous Access Devices ATI SKILL MODULE THE BASICS Central venous catheters, also known as central venous access devices (CVADs) or central lines, have become a mainstay for patients requiring intravenous (IV) administration of medications and other therapies. Unlike peripheral intravenous catheters typically inserted into the veins …, Central Venous Access Devices: Implanted Port ­ Accessing and Deaccessing the Site Step by Step. SATISFACTORY / UNSATISFACTORY EVALUATOR’S COMMENTS. Implanted Port - Accessing and Deaccessing the Site. Verify prescription for accessing port. Gather necessary equipment. *Introduce yourself to the client. *Provide privacy as needed., A nontunneled percutaneous central catheter This type of central catheter is ideal for emergency situations where short term (less than 6 weeks) central venous access is required for multiple therapies. This is the appropriate choice for this client. 1/6/24, 4:21 PM ATI Pretest Centraline about:blank 2/5A nurse is caring for a patient …, Skills Modules 3.0 Checklist: Central Venous Access Devices Dressing Change www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C. PAGE 2 STEP S U EVALUATOR’S COMMENTS *Perform hand hygiene and put on appropriate PPE if indicated. Adjust bed to comfortable working height. Assist the client to a comfortable position., Skills Modules 3.0 Checklist: Central Venous Access Devices Implanted Port – Accessing and Deaccessing the Site www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C. PAGE 3 STEP S U EVALUATOR’S COMMENTS Clean port insertion site and 2 to 3 inches around with chlorhexidine for at least 30 seconds. Allow to dry., Central vascular access device. umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long ..., A central line, also known as a central venous access device (CVAD), is a thin, soft, flexible tube. This long tube, also called a catheter, is placed in a vein that leads to your heart. The other end of the CVAD catheter either exits near the surface of the skin or sits directly underneath the skin. The CVAD contains a single or multiple channels., Jan 11, 2020 · Patients often need central venous access for indications including ongoing hemodynamic monitoring, difficult venous access, or long-term intravenous therapy (eg, antimicrobial therapy, fluid therapy, chemotherapy). , Study with Quizlet and memorize flashcards containing terms like Central Venous Access Devices (CVAD), superior or inferior vena cava, internal jugular vein, subclavian vein, brachial vein, or femoral vein. and more., A central venous access device (CVAD) is made of a non-irritant material, for example, silicone or polyurethane, which means it can be left in for as long as clinically indicated (several weeks or months, or even longer). The CVAD may contain one or two tubes. A CVAD containing two tubes is called a double or dual lumen catheter and a CVAD ..., The appropriate central venous access device for this patient is: a. a tunneled central catheter b. an implanted port. c. a nontunneled percutaneous central catheter. d. a peripherally inserted central catheter, A nurse is preparing to obtain a blood sample from a patient who has a triple-lumen central catheter in place for multiple therapies., 40.3K subscribers. 165. From an accredited US healthcare educator. Learn how experts define health sources in a journal of the National Academy of Medicine. 22K views 3 years ago West Coast..., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has just had a central venous access line inserted. What action will the nurse take next? a. Begin the prescribed infusion via the new access. b. Ensure that an x-ray is completed to confirm placement. c. Check medication calculations with a second RN. d. …, In today’s fast-paced digital world, effective communication and collaboration among team members are essential for the success of any organization. Microsoft Teams provides a comp..., Study with Quizlet and memorize flashcards containing terms like Antecubital fossa (an-tih-*kyoo*-bih-tuhl *fos*-uh) ATI Skills Module 2.0 Central Venous Access Devices: Vocabulary, Asepsis (ae-*sep*-sis) ATI Skills Module 2.0 Central Venous Access Devices: Vocabulary, Basilic Vein (bih-*sil*-ik *vane*) ATI Skills Module 2.0 Central …, Study with Quizlet and memorize flashcards containing terms like A patient who has sustained trauma from a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate central venous access for fluid and blood replacement and prophylactic antibiotic therapy. The appropriate central venous …, A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. The IV pump alarm sounds, indicating that there is an occlusion. Which of the following actions should the nurse take first?-Call the provider who inserted the catheter.-Flush the line with a 10-mL syringe of …