Author Question: The nurse is preparing to draw blood from a central venous access device for blood cultures. Which ... (Read 196 times)

chandani · **on:** Jun 25, 2018

The nurse is preparing to draw blood from a central venous access device for blood cultures. Which of the following steps is part of that process?

a. Apply sterile gloves.
b. Flush the port with 5 to 10 mL of 0.9 sodium chloride.
c. Slowly aspirate 5 mL of blood and discard the syringe.
d. Use the distal lumen to draw blood.

Question 2

The nurse is assisting the physician during the insertion of a central line into the subclavian vein. How should the nurse cleanse the area?

a. With chlorhexidine in a back and forth scrubbing motion
b. With chlorhexidine followed by alcohol in a back and forth scrubbing motion
c. With alcohol in a circular motion for 5 minutes
d. With antimicrobial solution that must be dabbed dry with a sterile towel

ladyjames123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

D
Use the distal (red or brown) lumen to draw blood if the device has more than one lumen. The distal (red or brown) lumen typically is the largest-gauge lumen. Apply clean gloves to prevent transfer of body fluids. Do not flush before drawing blood for blood cultures. If blood cultures have been ordered, do not discard any blood. Use the initial specimen for blood cultures.

Answer to Question 2

A
Antiseptics such as chlorhexidine remove resident and transient bacteria. Alcohol should not be applied after the application of iodophor solution. Chlorhexidine is scrubbed in a back and forth motion for 30 seconds. Allow the antimicrobial solution to air-dry completely. This ensures maximum antimicrobial effect.