The nurse is caring for an acutely ill patient who has central venous pressure monitoring in place. What intervention should be included in the care plan of a patient with CVP in place?
A) Apply antibiotic ointment to the insertion site twice daily.
B) Change the site dressing whenever it becomes visibly soiled.
C) Perform passive range-of-motion exercises to prevent venous stasis.
D) Aspirate blood from the device once daily to test pH.
Ans: B
Feedback:
Gauze dressings should be changed every 2 days or transparent dressings at least every 7 days and whenever dressings become damp, loosened, or visibly soiled. Passive ROM exercise is not indicated and it is unnecessary and inappropriate to aspirate blood to test it for pH. Antibiotic ointments are contraindicated.
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