A nurse is caring for a client who has a multi-lumen central venous catheter and is receiving multiple continuous intravenous (IV) therapies, including total parenteral nutrition (TPN). Which of the following actions by the nurse demonstrate correct application of parenteral therapy safety principles? Select all that apply.
- Trace all intravenous tubing from the primary fluid container down to the client's access site before initiating any new infusion.Cevap
- BPause the continuous total parenteral nutrition (TPN) infusion to administer a scheduled intravenous push medication through the same lumen.
- Aspirate for a blood return from the central venous catheter lumen prior to administering an intravenous vesicant medication.Cevap
- DDelegate the routine assessment of the central venous catheter insertion site for redness or swelling to the unlicensed assistive personnel (UAP).
- ECalculate weight-based intravenous medication dosages using the client's documented weight in pounds without converting it to kilograms.
- Scrub the needleless connector hub with an appropriate antiseptic for the facility-approved duration before attaching a syringe or IV tubing.Cevap
Cevap
The correct safety actions are tracing all IV tubing from the fluid container to the access site, aspirating for a blood return before administering vesicants, and scrubbing the needleless connector hub with an antiseptic before access.
Safe parenteral therapy relies on preventing complications. Tracing tubing prevents misconnections (especially important with multiple drips), aspirating for blood return ensures the catheter is properly situated within the vein prior to pushing harsh vesicants, and thoroughly scrubbing the hub prevents pathogens from being flushed directly into the central circulation.
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Safe administration of parenteral therapies requires meticulous infection control, verification of line patency, strict adherence to compatibility guidelines, and accurate weight-based dosing.