NUR 336 Exam 2
The doctor has just ordered a central line insertion on one of your clients. Which of the
following tasks may be delegated to a NAP? (Select all that apply).
a. Assist with positioning the patient during insertion and care.
b. Reporting if the patient has a fever.
c. Assessing the site for redness or irritation.
d. Reporting to the nurse if the catheter line appears to have been pulled out further
than its original insertion position.
e. Inserting the central line using aseptic technique.
f. Changing the central line dressing.
(The NAP may assist with positioning the patient and making sure they are comfortable
during the procedure. The NAP can also check for fever and if the catheter line as
moved. They cannot insert the catheter or change the central line dressing or assess
the site for infection.)
Which statement might the nurse make to nursing assistive personnel (NAP) when
caring for a patient with a dressed central venous access device (CVAD) site?
A. "Assess the site frequently for signs of inflammation."
B. "Be sure to change the transparent dressing on the site once every 7 days."
C. "Let me know immediately if the patient's dressing becomes damp."
D. "Make sure the patient knows to notify me if the site becomes painful or swollen."
Which action would the nurse take to minimize the patient's risk for infection when
changing the dressing on a CVAD?
A. Use sterile technique throughout the process.
B. Apply a stabilization device if the initial sutures are no longer intact.
C. Apply a mask to the patient during the procedure.
D. Change the transparent dressing every 48 hours.
What is the most important way in which the nurse can reduce the risk for infection in a
patient with a CVAD that has a gauze dressing?
A. Change the dressing every 48 hours.
B. Apply sterile gloves to remove the original dressing.
C. Cleanse the catheter and insertion site with sterile saline.
D. Label the dressing with the date and time of application and the nurse's initials.