NCLEX-PN

that the right medication is administered at the correct rate. Monitoring and verifying the settings in the drug library is an essential part of infusion pump maintenance and accuracy, further underlining the importance of vigilant monitoring by healthcare professionals. Monitoring Intravenous Infusions and Site Maintenance All types of intravenous lines, such as central lines, PICC lines, and venous access devices, are invasive and pose a risk of catheter-associated healthcare-related infections if not cared for properly. Consequently, only nurses are authorized to monitor, maintain, and attend to these lines and sites, and these responsibilities cannot be delegated to unlicensed assistive staff members like nursing assistants or client care technicians. The care and maintenance protocols for these sites are outlined in the facility's policies and procedures, which typically incorporate sterile techniques and encompass the following: Peripheral Intravenous Lines ●​ Regular monitoring of the intravenous line is necessary to ensure patency and correct flow rate. ●​ Routine assessment and inspection of the insertion site to detect signs of infiltration or infection. ●​ Dressing changes are made in accordance with the facility's policy (usually every 24 hours ). Central Venous Access Devices ●​ Sterile technique, including the use of sterile gloves and personal protective face masks for both the client and the nurse. ●​ Cleansing of the insertion site with chlorhexidine ●​ Application of sterile dressings , often impregnated with chlorhexidine, with dressing changes every 48 hours (except for occlusive transparent dressings, which can remain for up to 72 hours). ●​ Cap changes and line flushing after each access ●​ Avoidance of blood pressure measurements and invasive procedures on the side of the central venous access device Evaluating the Client's Response to Intermittent Parenteral Fluid Therapy Intermittent parenteral fluid therapy is employed for the administration of intravenous medications and fluid replacement. Since intravenous medication acts swiftly and can lead to rapid adverse reactions, including allergies and potentially life-threatening complications like anaphylaxis , nurses must diligently assess and monitor the client's response during intermittent medication administration. Clients undergoing intermittent fluid replacement also require close monitoring. Evaluation includes scrutiny of the client's laboratory data, fluid balance, and vigilance for signs and symptoms of fluid overload. For all clients receiving intravenous therapy, whether intermittent or continuous, a thorough evaluation and monitoring of potential complications associated with intravenous lines is essential. These complications may comprise:

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