When a central venous catheter dressing becomes moist or loose, what should a nurse do first?
a) Notify the physician.
b) Remove the dressing, clean the site, and apply a new dressing.
c) Remove the catheter, check for catheter integrity, and send the tip for culture.
d) Draw a circle around the moist spot and note the date and time.
Answer: B) Remove dressing, clean the site, and apply a new dressing.
A nurse maintaining a central venous catheter should change the dressing every 72 hours or when it becomes soiled, moist, or loose. After removing the soiled dressing, the nurse should use sterile technique to clean around the site in accordance with facility policy. After the cleaning solution has dried, the nurse should cover the site with a transparent semipermeable dressing. A nurse who notes drainage on a wound dressing should draw a circle around the moist spot and note the date and time. She should notify the physician if she observes any catheter-related complications. Only a nurse with the appropriate qualifications may remove a central venous catheter, and a moist or loose dressing isn't a reason to remove the catheter.
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