A nurse is changing the dressing for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Cleanse the catheter site using a side-to-side motion.
Tape down the corners of the dressing.
Place a mask on the client during the procedure.
Secure an occlusive dressing over the gauze pads
The Correct Answer is C
A. The catheter site should be cleansed using a circular motion, starting at the exit site and moving outward, not a side-to-side motion, to prevent introducing microorganisms.
B. Taping down only the corners does not adequately secure the dressing. All edges should be sealed to reduce the risk of infection.
C. Placing a mask on the client (and the nurse) during dressing changes helps prevent contamination of the peritoneal catheter site, which is highly susceptible to infection. This is an essential aseptic practice.
D. An occlusive dressing is not typically recommended over peritoneal dialysis catheter sites, as it can trap moisture and increase the risk of infection. A sterile gauze dressing is generally preferred.
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Related Questions
Correct Answer is C
Explanation
A. PICC lines are typically inserted into veins in the upper extremity (e.g., basilic or cephalic vein), not the lower extremities.
B. A 10 mL syringe (or larger) is recommended to flush PICC lines to avoid excessive pressure that could damage the catheter; a 3 mL syringe generates too much pressure.
C. Flushing the PICC line with 0.9% sodium chloride (normal saline) after medication administration is standard practice to maintain catheter patency and prevent clotting.
D. Pneumothorax is a potential complication of central venous catheters inserted in the subclavian or jugular veins, not typically with PICC lines, as they are inserted peripherally.
Correct Answer is C
Explanation
A. While sterile technique is important during IV care, flushing the IV is not primarily for maintaining sterility.
B. Flushing can help clear air, but its main purpose is not air removal.
C. Flushing the IV line before and after medication administration helps verify patency (that the line is working properly) and ensures that the entire medication dose is delivered.
D. Flushing can help reduce medication interactions, but it is not specifically a method to minimize medication errors.
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