A nurse inadvertently partially dislodges a PICC line when changing the dressing. What would be the appropriate intervention in this situation?
A) Swab the line with sterile saline and gently reinsert the line.
B) Sedate the client, remove the PICC line, and then notify the physician.
C) Set up a sonogram for the client to determine the end point of the line.
D) Reapply the dressing and notify the physician for further instructions.
Ans: D
When a PICC line is not all the way out, the nurse should notify the physician. The physician will most likely order a chest x-ray to determine where the end of the PICC line is. A dressing should be reapplied before the chest x-ray, to prevent further dislodgement.
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