The nurse is caring for a patient who has a central venous access device (CVAD). Which action by the nurse is appropriate?
a. Avoid using friction when cleaning around the CVAD insertion site.
b. Use the push-pause method to flush the CVAD after giving medications.
c. Obtain an order from the health care provider to change CVAD dressing.
d. Position the patient's face toward the CVAD during injection cap changes.
ANS: B
The push-pause enhances the removal of debris from the CVAD lumen and decreases the risk for clotting. To decrease infection risk, friction should be used when cleaning the CVAD insertion site. The dressing should be changed whenever it becomes damp, loose, or visibly soiled. The patient should turn away from the CVAD during cap changes.
You might also like to view...
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective
She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy? a. Emotional b. Spiritual c. Physical d. Mental
You are reviewing the official document called the Scope and Standards of Home Health Nursing Practice. Using your knowledge about the document providing guidelines for nurses involved in home health care practice,
what is included in the standards of care? 1. Assessment by collecting data about home care clients 2. Diagnosis through the analysis of data 3. Outcome identification that helps identify nurse-sensitive measures 4. Planning nurse-sensitive interventions directed at the identified outcomes 5. Implementation of nurse-centered actions in collaboration with physicians A) 1, 2, 4, 5 B) 1, 2, 3, 4 C) 1, 3, 4, 5 D) 2, 3, 4, 5
To give effective chest compressions to an adult, you need to:
a. Depress the sternum at least 2 inches, but not more than 2.4 inches. b. Give abdominal thrusts above the navel c. Depress the lower end of the sternum about 1 inch d. Make a fist with one hand.
Which laboratory test is used to evaluate the degree of damage to the immune system caused by HIV?
A. Platelets B. Liver function studies C. CD4 T-cell count D. Complete blood count