Author Question: A nurse assists with the insertion of a central vascular access device. Which actions should the ... (Read 31 times)

LCritchfi · **on:** Jun 25, 2018

A nurse assists with the insertion of a central vascular access device. Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)

a. Include a review for the need of the device each day in the client's plan of care.
b. Remind the provider to perform hand hygiene prior to starting the procedure.
c. Cleanse the preferred site with alcohol and let it dry completely before insertion.
d. Ask everyone in the room to wear a surgical mask during the procedure.
e. Plan to complete a sterile dressing change on the device every day.

Question 2

A nurse prepares to administer a blood transfusion to a client, and checks the blood label with a second registered nurse using the International Society of Blood Transfusion (ISBT) universal bar-coding system to ensure the right blood for the right

client. Which components must be present on the blood label in bar code and in eye-readable format? (Select all that apply.)

a.
Unique facility identifier
b.
Lot number related to the donor
c.
Name of the client receiving blood
d.
ABO group and Rh type of the donor
e.
Blood type of the client receiving blood

Liddy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
The central vascular access device bundle to prevent catheter-related bloodstream infections includes using a checklist during insertion, performing hand hygiene before inserting the catheter and anytime someone touches the catheter, using chlorhexidine to disinfect the skin at the site of insertion, using preferred sites, and reviewing the need for the catheter every day. The practitioner who inserts the device should wear sterile gloves, gown and mask, and anyone in the room should wear a mask. A sterile dressing change should be completed per organizational policy, usually every 7 days and as needed.

Answer to Question 2

ANS: A, B, D
The ISBT universal bar-coding system includes four components: (1) the unique facility identifier, (2) the lot number relating to the donor, (3) the product code, and (4) the ABO group and Rh type of the donor.