Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 26

Priority Decision: Number the following nursing actions related to care of the patient's central venous access device (CVAD) in the correct order to complete these actions.Number 1 is the first action and number 8 is the last action.
______a.Perform hand hygiene
______b.Flush each line with 10 mL of normal saline
______c.Use strict sterile technique to change the dressing
______d.Clamp unused lines after flushing if not using positive pressure valve caps
______e.Assess the CVAD insertion site for redness, edema, warmth, drainage, and pain
______f.Use friction to cleanse the CVAD insertion site with chlorhexidine-based preparation
______g.Turn the patient's head to the side away from the CVAD insertion site when changing the caps
______h.Obtain chest x-ray results to verify placement of the catheter in the distal end of the superior vena cava