After changing the client's central line dressing, which items ...

[Alainaaa8]

After changing the client's central line dressing, which items will the nurse include in the documentation of the procedure?
 
  Select all that apply.
  1. Fluid infusing into the catheter
  2. Assessment of the central line insertion site
  3. Type of dressing applied
  4. Aseptic technique under which the dressing was changed
  5. Client complaints or concerns

Question 2

The nurse caring for a client with IV access accidentally infuses an air embolism. Which is the highest-priority action of the nurse?
 
  1. Notifying the health care provider
  2. Notifying the charge nurse
  3. Assessing the client
  4. Positioning the client in left Trendelenburg and applying oxygen

[medine]

Answer to Question 1

Correct Answer: 2,3,4,5

The nurse should document the appearance of the central line insertion site, the type of dressing applied, and the aseptic technique used, such as sterile technique used to apply Tegaderm dressing. If the client voices any concerns or complaints, the nurse would record them, along with actions taken to care for the client. The fluid infusing is documented on the IV infusion record, but not in the note regarding dressing change.

Answer to Question 2

Correct Answer: 4

Lowering the head of the bed increases intrathoracic pressure, decreasing the flow of air into the vein during inhalation. A left side-lying position helps prevent air from moving into the pulmonary artery. Oxygen helps to hyperoxygenate the tissues if the air embolism reduces blood flow to the tissues. The other actions, although necessary, take far lower priority.

[Alainaaa8]

Correct answers!

[medine]

Great! Please up vote