Wk 7 Central Venous Therapy

The port is cleaned with _____ before administering IV fluid through the catheter.

alcohol pad

The nurse should ensure that which item is placed when the client is to receive intravascular therapy for more than 6 days?

peripherally inserted central catheter (PICC)

How do you clean a central venous access device?

Proper cleansing of a CVAD includes cleaning the insertion site with a chlorhexidine solution in a circular motion from insertion site outward. The nurse will obtain another pair of sterile gloves to perform the procedure if contamination of gloves occurs. The nurse cleanses from insertion site outward to distal catheter ports.

When a central venous catheter dressing becomes moist or loose, what should a nurse do first?

Remove the dressing, clean the site, and apply a new dressing.

A nurse is caring for a client with a central venous catheter and notices redness and tenderness at the catheter insertion site. Which assessment finding would indicate possible systemic infection?

Resp. rate of 32 breaths/min

When positioned properly, the tip of a central venous catheter should lie in the:

Superior Vena Cava

A client diagnosed with idiopathic thrombocytopenia purpura needs a peripherally inserted central catheter (PICC) placed. When explaining the catheter to the client, the nurse explains that one advantage of a catheter is that it can be used:

To provide long-term access to central veins

How should vasoactive medications be administered?

Using a central venous line