While caring for a patient with a peripheral IV, the nurse takes precautions to prevent infection development. Which best describes a method the nurse would use to prevent infection?

 

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Correct

- Maintain aseptic technique during catheter insertion and care

- Use hot water to clean the skin before IV cannulation and with dressing changes

- Avoid alcohol-based hand rubs and wash hands with soap and water instead

- Avoid single-dose vials for parenteral additives whenever possible

Rationale

-"Maintain aseptic technique during catheter insertion and care" is correct. An IV has the potential to cause an infection because it interrupts skin integrity, which is the foremost line of defense against microorganisms. The nurse must practice aseptic technique when inserting the catheter, catheter use and dressing changes to prevent infection.
-"Use hot water to clean the skin before IV cannulation and with dressing changes" is incorrect. The IV site should be cleaned with chlorhexidine or alcohol. Hot water is insufficient to remove all pathogens and could cause harm to the patient.
-"Avoid alcohol-based hand rubs and wash hands with soap and water instead" is incorrect because alcohol-based hand rubs are just as effective as soap and water for hand hygiene.
-"Avoid single-dose vials for parenteral additives whenever possible" is incorrect. Single-dose vials are better than multi-use vials because there is less chance for the vials to introduce pathogens to the IV system when they are only used once.

References:

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Question ID - 16154

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