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A nurse is planning care for a client who has a central venous access device for intermittent infusions.Which of the following actions should the nurse include in the plan of care?A. Use an aseptic technique when changing the dressing.B. Cleanse the site with povidone-iodine.C. Flush the catheter using a 10-mL syringe.D. Change the dressing every 24 hours.

Question

A nurse is planning care for a client who has a central venous access device for intermittent infusions.Which of the following actions should the nurse include in the plan of care?A. Use an aseptic technique when changing the dressing.B. Cleanse the site with povidone-iodine.C. Flush the catheter using a 10-mL syringe.D. Change the dressing every 24 hours.

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Solution

The nurse should include the following actions in the plan of care for a client who has a central venous access device for intermittent infusions:

A. Use an aseptic technique when changing the dressing: This is correct. Aseptic technique is used to prevent contamination and reduce the risk of infection.

B. Cleanse the site with povidone-iodine: This is also correct. Povidone-iodine is a common antiseptic used to clean the skin before a procedure. It helps to kill bacteria and prevent infection.

C. Flush the catheter using a 10-mL syringe: This is correct. A 10-mL syringe is typically used to flush a central venous catheter. This helps to maintain patency and prevent blockages.

D. Change the dressing every 24 hours: This may not be correct. The frequency of dressing changes can depend on various factors, including the type of dressing used, the condition of the site, and the patient's level of activity and sweating. Some guidelines suggest changing the dressing every 48 to 72 hours, or sooner if it becomes soiled or loose. However, the exact frequency should be determined based on the individual patient's needs and the healthcare provider's instructions.

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