Remove the dressing, clean the site, and apply a new dressing.-rationale: a nurse maintaining a central venous catheter should change the dressing every 72 hours or when it becomes soiled, moist, or loose. after removing the soiled dressing, the nurse should use sterile technique to clean around the site in accordance with facility policy. after the cleaning solution has dried, the nurse should cover the site with a transparent semipermeable dressing. a nurse who notes drainage on a wound dressing should draw a circle around the moist spot and note the date and time. she should notify the physician if she observes any catheter-related complications. only a nurse with the appropriate qualifications may remove a central venous catheter, and a moist or loose dressing isnt a reason to remove the catheter.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: comprehensionreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1005.
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