A nurse is aware of the high incidence of catheter-related bloodstream infections in patients receiving parenteral nutrition. What nursing action has the greatest potential to reduce catheter-related bloodstream infections?
A) Use clean technique and wear a mask during dressing changes.
B) Change the dressing no more than weekly.
C) Apply antibiotic ointment around the site with each dressing change.
D) Irrigate the insertion site with sterile water during each dressing change.
Ans: B
Feedback:
The CDC (2011) recommends changing CVAD dressings not more than every 7 days unless the dressing is damp, bloody, loose, or soiled. Sterile technique (not clean technique) is used. Irrigation and antibiotic ointments are not used.
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