The nurse is teaching a client about the central venous catheter (CVC) that will be inserted to provide total parenteral nutrition (TPN). Which statements by the client indicate the need for further education?
Standard Text: Select all that apply.
1. "The CVC will be located in the superior vena cava."
2. "The CVC will need to be rotated every few days to prevent infection."
3. "A CVC is being inserted because I need long-term TPN."
4. "You will deliver the TPN by gravity through the CVC."
5. "My subclavian vein will be used for the insertion of the CVC."
Correct Answer: 2,4
Rationale 1: This statement is correct.
Rationale 2: Peripheral venous catheters are rotated every few days to decrease the risk for infection.
Rationale 3: This statement is correct.
Rationale 4: TPN is administered with an infusion pump, not by gravity.
Rationale 5: A central vein, such as the subclavian or the internal jugular vein, is often utilized for the insertion of a CVC.
Global Rationale: CVC catheters are not rotated every few days. TPN is always administered with an infusion pump, not by gravity. The remaining statements are accurate.
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