The nurse is observing a student change the dressing on a central line. Which of the following actions requires an immediate intervention?
a. The student dons a mask and gloves when changing the dressing.
b. The student instructs the patient to perform Valsalva's maneuver when the line is disconnected for a tubing change.
c. The student places a sticker with the date, time, and initials on the dressing.
d. The student positions the patient on the left side with head down to perform the procedure.
ANS: D
Central lines have sterile, occlusive dressings to protect the site. Sterile gloves and mask should be worn during the dressing change. Whenever tubing is disconnected for changing, the patient is instructed to perform Valsalva's maneuver if able. This maneuver increases thoracic pressure and prevents air from entering the central line. All IV dressings are dated and initialed. Head down positioning is not necessary for a dressing change.
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