NCLEX-RNSafety and Infection Prevention and ControlMedium
A nurse is caring for a client with a new peripherally inserted central catheter (PICC) line. Which action is most important for the nurse to take to prevent a central line-associated bloodstream infection (CLABSI)?
- AEnsure the client's arm is elevated during dressing changes.
- BPerform meticulous hand hygiene before accessing the line.
- CEducate the client on symptoms of infection.
- DChange the dressing every 7 days or when soiled.
Show answer & explanationAnswer & explanation
Correct answer: B. Perform meticulous hand hygiene before accessing the line.
Meticulous hand hygiene is the single most effective measure to prevent healthcare-associated infections, including CLABSIs. It significantly reduces the transfer of microorganisms from the nurse's hands to the catheter site.
Why the other options are wrong
- A. Elevating the arm during a dressing change may improve client comfort or access but does not directly prevent infection.
- C. Educating the client is important for self-care and early detection but does not directly prevent the initial infection from occurring during line access.
- D. While dressing changes are crucial, the frequency and 'when soiled' aspect are part of standard care; hand hygiene is a more fundamental and constant preventative measure.
CLABSI Prevention
Strategies employed to reduce the incidence of central line-associated bloodstream infections, which are serious and preventable hospital-acquired infections.
- Hand hygiene is paramount for all central line care.
- Sterile technique during insertion and dressing changes is critical.
- Daily review of line necessity to remove unnecessary catheters.
Memory trick: Clean Hands, Clean Lines, Keep Infections Down.