The nurse is caring for a patient who has invasive hemodynamic monitoring. What would be the highest priority of care for this patient?
1. preventing infection at the catheter site by changing the dressing as prescribed
2. setting alarm limits and turning monitor alarms on
3. explaining to family members why the monitoring is in use
4. coiling IV tubing on the bed
Correct Answer: 2
Alarms should never be turned off as they are safety devices that warn of a disconnected line or hemodynamic instability. Alarms should always be investigated because they are silenced only when blood is drawn or tubing changed. Keeping family members informed about monitoring and preventing infection by changing dressings are important but not the priority of care. Coiling the IV tubing on the bed is contraindicated.
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