The nurse is caring for the client's central line. Which does the nurse implement during the dressing change?
1. Uses a sterile occlusive dressing at site
2. Cleanses the site with soap and water
3. Cleanses with a back-and-forth motion
4. Flushes tubing with normal saline solution
1
1. The nurse changes the central line dressing using sterile technique and applying a sterile occlusive dressing because the CVAD is very close to the heart; if the line de-velops an infection, the potential for the infection to reach the heart is very high and carries the risk of devastating results.
2. The nurse avoids cleansing the insertion site with soap and water and uses antisep-tic swabs for cleansing.
3. The nurse cleanses the insertion site with circular motions and the nurse begins at the insertion point and works outward to prevent recontaminating the site.
4. Flushing the port with saline solution is usually not a part of the central line dress-ing change.
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