The nurse is assisting the physician during the insertion of a central line into the subclavian vein. How should the nurse cleanse the area?

a. With chlorhexidine in a back and forth scrubbing motion
b. With chlorhexidine followed by alcohol in a back and forth scrubbing motion
c. With alcohol in a circular motion for 5 minutes
d. With antimicrobial solution that must be dabbed dry with a sterile towel


A
Antiseptics such as chlorhexidine remove resident and transient bacteria. Alcohol should not be applied after the application of iodophor solution. Chlorhexidine is scrubbed in a back and forth motion for 30 seconds. Allow the antimicrobial solution to air-dry completely. This ensures maximum antimicrobial effect.

Nursing

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