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Zorluk: OrtaPharmacological and Parenteral Therapies

A nurse is preparing to perform a routine scheduled dressing change for a client's central venous catheter (CVC). In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence.

  1. 1Place a surgical mask on the client and instruct them to turn their head away from the insertion site.
  2. 2Remove the existing transparent dressing by pulling it gently toward the catheter insertion site.
  3. 3Remove clean gloves, perform hand hygiene, and don sterile gloves.
  4. 4Scrub the insertion site with a chlorhexidine swab using a back-and-forth friction motion.
  5. 5Allow the cleansed area to air dry completely without blowing or fanning.
  6. 6Apply a new sterile transparent semipermeable dressing over the insertion site.

Cevap

The correct sequence is: place mask on client -> remove old dressing -> don sterile gloves -> scrub with chlorhexidine -> allow to air dry -> apply new sterile dressing.
A central venous catheter dressing change is a sterile procedure that requires strict adherence to infection control principles. Protecting the site from respiratory droplets is the first priority. The old dressing is then carefully removed with clean gloves to avoid dislodgement. To maintain asepsis, the nurse must change to sterile gloves before cleansing the site. Chlorhexidine requires a back-and-forth friction scrub and must dry completely to be effective. Finally, the site is covered with a new sterile transparent dressing to maintain a protective barrier.

Adım Adım Çözüm

1
Place a surgical mask on the client and turn their head.
The client's respiratory droplets are directed away from the site.
Prevents contamination of the CVC site with airborne flora when the old dressing is removed.
2
Remove the existing transparent dressing.
The insertion site is exposed.
The old dressing must be removed using clean gloves, pulling toward the site to prevent dislodgement.
3
Remove clean gloves, perform hand hygiene, and don sterile gloves.
The nurse's hands are prepared for a sterile procedure.
Maintaining strict asepsis is critical before touching the exposed insertion site or using sterile cleansing supplies.
4
Scrub the insertion site with chlorhexidine.
The skin around the insertion site is disinfected.
Friction and the antiseptic properties of chlorhexidine reduce microbial count on the skin.
5
Allow the cleansed area to air dry.
The chlorhexidine achieves maximum efficacy.
Chemical disinfectants require adequate contact and drying time to destroy pathogens.
6
Apply a new sterile transparent dressing.
The CVC site is securely covered.
Provides a barrier against microorganisms while allowing nurses to monitor for infection.

Anahtar Kavram

Central Venous Catheter (CVC) Sterile Dressing Change Procedure
Tahmini Süre:1m 30s
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Konular

Pharmacological and Parenteral Therapies

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