The nurse is caring for a patient who has invasive hemodynamic monitoring. What is the nurse's highest priority of care for this patient?
1. Prevent infection at the catheter site by changing the dressing as prescribed.
2. Set alarm limits and turn monitor alarms on.
3. Explain to family members why the monitoring is in use.
4. Coil IV tubing on the bed.
2
Rationale 1: Prevention of infection by changing dressings is important but not the priority of care.
Rationale 2: Alarms should never be turned off as they are safety devices that warn of a disconnected line or hemodynamic instability. When an alarm sounds, the nurse should always investigate the cause.
Rationale 3: Keeping family members informed about monitoring is important, but not the priority of care.
Rationale 4: Coiling the IV tubing on the bed is contraindicated.
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Answer the following statement true (T) or false (F)
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