The nurse is preparing to give a client an IV push medication through an intermittent IV set (saline lock) using a needleless system. Which actions by the nurse are most appropriate? (Select all that apply.)
a. Cleanse the access port vigorously for at least 30 seconds.
b. Use an antimicrobial agent when cleansing the port.
c. Clean the ridges in the Luer-Lok connection well.
d. Rinse the antimicrobial agent off with saline.
e. Allow the antimicrobial agent to dry before using IV.
A, B, C
Needleless systems need careful cleansing before use. Guidelines include scrubbing the connection vigorously with an antimicrobial agent for 30 seconds, and paying special attention to the ridges in the Luer-Lok device. Rinsing and drying are not necessary.
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