A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this client's teaching?
a. "Avoid carrying your grandchild with the arm that has the central catheter."
b. "Be sure to place the arm with the central catheter in a sling during the day."
c. "Flush the peripherally inserted central catheter line with normal saline daily."
d. "You can use the arm with the central catheter for most activities of daily living."
ANS: A
A properly placed PICC (in the antecubital fossa or the basilic vein) allows the client considerable freedom of movement. Clients can participate in most activities of daily living; however, heavy lifting can dislodge the catheter or occlude the lumen. Although it is important to keep the insertion site and tubing dry, the client can shower. The device is flushed with heparin.
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