A practical nurse (PN) is preparing to discontinue a peripheral intravenous (IV) catheter for a client who is receiving continuous anticoagulant therapy. The IV infusion has already been stopped. Arrange the following steps in the correct sequence to safely remove the catheter and minimize the risk of complications. All options must be used.
- 1Perform hand hygiene and don clean gloves.
- 2Gently remove the securement dressing while stabilizing the catheter hub.
- 3Place a dry, sterile gauze pad lightly over the insertion site.
- 4Withdraw the catheter smoothly in a direction parallel to the skin.
- 5Apply firm, continuous pressure to the site for at least 5 minutes.
Cevap
The correct sequence is to perform hand hygiene and don gloves, remove the dressing while stabilizing the hub, place gauze lightly over the site, withdraw the catheter parallel to the skin, and finally apply firm pressure for at least 5 minutes.
Safely discontinuing an IV catheter requires standard precautions, careful site exposure, atraumatic removal, and adequate hemostasis. For a client on anticoagulant therapy, the critical risk reduction modification is applying continuous pressure for a longer duration (at least 5 minutes) immediately after the catheter is fully withdrawn to prevent excessive bleeding or hematoma formation.
Adım Adım Çözüm
Anahtar Kavram
Discontinuation of a peripheral IV and bleeding risk reduction.