A client is prescribed intravenous fluids to treat dehydration. Which solution should the nurse use to disinfect the skin prior to catheter placement for these fluids?
1. Betadine
2. Soap and water
3. Chlorhexidine gluconate
4. Alcohol-based hand sanitizer
3
Rationale 1: Use of chlorhexidine gluconate has demonstrated superiority to povidone–iodine in decreasing infections at the site of IV catheter insertion.
Rationale 2: Soap and water can be used for hand hygiene before catheter placement however is not recommended to cleanse the skin prior to IV catheter insertion.
Rationale 3: The CDC Guidelines for Prevention of Catheter-Related Infections state that skin should be disinfected before catheter placement and that chlorhexidine gluconate is preferred.
Rationale 4: Alcohol-based hand sanitizer can be used for hand hygiene before catheter placement however is not recommended to cleanse the skin prior to IV catheter insertion.
Global Rationale: The CDC Guidelines for Prevention of Catheter-Related Infections state that skin should be disinfected before catheter placement and that chlorhexidine gluconate is preferred. Use of chlorhexidine gluconate has demonstrated superiority to povidone–iodine in decreasing infections at the site of IV catheter insertion. Soap and water or alcohol-based hand sanitizer can be used for hand hygiene before catheter placement however is not recommended to cleanse the skin prior to IV catheter insertion.
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