The LPN is monitoring a child who is on IV therapy for dehydration. Which of the following describes a nursing intervention appropriate for this situation?
A) Monitor for signs of infection at the site, including blanching and lowered WBC count.
B) Change the central line dressing every 24 hours if using gauze.
C) Change the central line dressing every 48 hours if using a transparent dressing.
D) Do not use tape to secure the IV, use only Luer-Lok or click-lock connectors.
B
Feedback:
The nurse should change central line dressings every 24 hours, if using gauze, and every 72 hours, if using a transparent dressing (e.g., Tegaderm). The nurse should also monitor for signs and symptoms of infection at the site: redness, pain, elevated white blood cell count, and temperature. The nurse should use Luer-Lok or click-lock connectors, or tape connections securely.
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