A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Question
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Solution
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Gather Necessary Supplies: The nurse should first gather all the necessary supplies for the procedure. This includes the catheter kit, sterile gloves, gown, mask, and cap.
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Prepare the Client: The nurse should explain the procedure to the client to ensure they understand what will happen. The client's consent should be obtained. The nurse should also check the client's vitals to ensure they are stable enough for the procedure.
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Position the Client: The client should be positioned in a way that allows easy access to the insertion site. This is usually with the client lying flat on their back.
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Assist with Sterile Field: The nurse should assist in setting up a sterile field to prevent infection. This includes wearing sterile gloves, gown, mask, and cap, and using sterile drapes to cover the client and surrounding area.
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Assist with Insertion: The nurse should assist the healthcare provider with the insertion of the catheter. This may include holding the client still, helping to guide the catheter into place, or flushing the catheter once it's in place.
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Monitor the Client: After the procedure, the nurse should monitor the client for any signs of complications, such as infection, bleeding, or changes in vitals. The nurse should also provide care for the catheter site, including regular cleaning and dressing changes.
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Document: Finally, the nurse should document the procedure, including the client's response, any complications, and the care provided.
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