The nurse is assessing several clients receiving intravenous therapy. Which client situation requires immediate intervention?
a. Completion of an intermittent medication into a Groshong catheter
b. Physician's order to discontinue a peripheral intravenous catheter
c. Nonaccessed implanted port placed 1 month ago without problem
d. Peripheral IV catheter dated 5 days ago used for once-daily antibiotics
A
A Groshong catheter is a peripherally inserted catheter that needs to be flushed with saline after intermittent use. Peripheral IV catheters should be discontinued after 4 days, so this one should be changed; however, this is not the priority. An order to discontinue the peripheral catheter requires intervention, but flushing of the Groshong catheter is more of an immediate intervention to prevent clotting of the catheter. A nonaccessed implanted port site needs to be assessed, but this is not an immediate intervention.
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