The nurse is caring for a patient who has a temporary percutaneous dialysis catheter in place. In caring for this patient, the nurse should:
a. apply a sterile gauze dressing to maintain sterility.
b. replace the transparent dressing every 10 days to prevent manipulation.
c. assess the catheter site for redness and/or swelling.
d. use the catheter for drawing blood samples to reduce patient discomfort.
C
Tenderness at the insertion site, swelling, erythema or drainage should be reported to the physician. Transparent, semipermeable polyurethane dressings are recommended as they allow continuous visualization for assessment of signs of infection. Replace transparent dressings on temporary percutaneous catheters at least every 7 days and no more than once a week for tunneled percutaneous catheters unless the dressing is soiled or loose. The catheter is not used for the administration of fluids or medications or for the sampling of blood unless a specific order is obtained to do so.
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