A nurse is preparing the site for insertion of a peripheral venous catheter using chlorhexidine. Which actions would be appropriate for the nurse to do? Select all that apply

A) apply deep pressure
B) rub in a side to side motion
C) rub in a circular motion
D) use a back and forth motion
E) apply alcohol after the chlorhexidine


Ans: B, D
Feedback:
The nurse would prepare the site with a single application of 2% chlorhexidine in 70% isopropyl alcohol, using gentle pressure in a side to side, back and forth motion. For clients with chlorhexidine allergies, the nurse would use povidone-iodine swabs, using an expanding circular motion, allowing one minute contact time and removing the povidone-iodine with an alcohol pad.

Nursing

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