A nurse teaches a client who is prescribed a central vascular ...

[ahriuashd]

A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this client's teaching?
 
  a. You will need to wear a sling on your arm while the device is in place.
  b. There is no risk of infection because sterile technique will be used during insertion.
  c. Ask all providers to vigorously clean the connections prior to accessing the device.
  d. You will not be able to take a bath with this vascular access device.

Question 2

A nurse delegates care to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating hygiene for a client who has a vascular access device?
 
  a. Provide a bed bath instead of letting the client take a shower.
  b. Use sterile technique when changing the dressing.
  c. Disconnect the intravenous fluid tubing prior to the client's bath.
  d. Use a plastic bag to cover the extremity with the device.

[Jmfn03]

Answer to Question 1

ANS: C
Clients should be actively engaged in the prevention of catheter-related bloodstream infections and taught to remind all providers to perform hand hygiene and vigorously clean connections prior to accessing the device. The other statements are incorrect.

Answer to Question 2

ANS: D
The nurse should ask the UAP to cover the extremity with the vascular access device with a plastic bag or wrap to keep the dressing and site dry. The client may take a shower with a vascular device. The nurse should disconnect IV fluid tubing prior to the bath and change the dressing using sterile technique if necessary. These options are not appropriate to delegate to the UAP.