A nurse has a patient with a tunneled central line with a triple-lumen catheter. The insertion site is covered by an occlusive dressing with yesterday's date. The nurse is to give an intravenous drug through the central line
What should be the initial action of the nurse? a. Use any of the three ports for delivery.
b. Change the occlusive dressing.
c. Affirm catheter placement by withdraw-ing 10 mL of blood.
d. Check dilution of the drug.
D
Checking the drug for the proper dilution is essential. The dressing is not due to be changed. Drawing 10 mL of blood for site placement is excessive. Only two of the ports, which are color coded, are to be used for drug, fluid, or blood administration.
You might also like to view...
A patient arrived in the emergency department (ED) after being found by a family member unconscious in the garage with the car running. High flow oxygen at 100% is administered in the ED
The nurse knows that which of the following diagnostic tests would be the best to determine that the present therapy is effective? A) Pulse oximetry B) Chest x-ray C) Serial carboxyhemoglobin levels D) Hemoglobin and hematocrit
Which classification of dysrhythmia is most common with an inferior wall infarction in the first hour after STEMI?
a. Sinus tachycardia b. Multifocal PVCs c. Atrial fibrillation d. Sinus bradycardia
The client has a stage IV pressure ulcer. In accordance with the Agency for Healthcare
1. Foam mattress 2. Air-fluidized bed 3. Rotokinetic bed 4. Static support surface
Maintaining the necessary level of alertness when we are conscious and awake is the responsibility of the
A. cerebellum B. reticular formation C. hypothalamus and limbic system D. medial forebrain bundle