What is the appropriate nursing action after completion of intermittent medication adminis-tration through a Groshong catheter?
A. Remove the access needle from the client's skin.
B. Reconnect the mainline fluid to keep the line open.
C. Flush the line with saline and clamp the line while maintaining positive pressure.
D. Flush the line with saline and apply a dressing to the catheter site as needed.
D
The Groshong catheter is not an implanted port. After intermittent use, the catheter is to be flushed with saline. The site may or may not be dressed, depending on the maturity and condition of the site. The manufacturer's instructions state that the catheter should not be clamped to maintain the integrity of the catheter valve.
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