The nurse is providing instructions to the client being discharged to home with a peripherally inserted central catheter (PICC). The nurse provides which instructions to the client? Select all that apply
1. Wear a Medic-Alert tag or bracelet.
2. Report redness or swelling at the catheter insertion site.
3. Have a repair kit available in the home for use if needed.
4. Keep activity level to a minimum while this catheter is in place.
5. Cover the PICC dressing with plastic when in the shower or bath.
1, 2, 3, 5
Rationale: The client should be taught that there are only minor activity restrictions with this catheter. The client should protect the site during bathing and should carry Medic-Alert identifi-cation. The client should have a repair kit in the home for PRN use, because it is a long-term catheter. Redness or swelling at the catheter insertion site needs to be reported because this could indicate a sign of infection.
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