National Clinical Assessment (NCA) Cellular Practice Exam

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Which of the following statements about central lines is true?

Can obtain blood from a venous line only

Must use a 5 mL syringe for flushing

Assess for pulmonary emboli when administering medicine

The nurse must clean all ports before use

The statement that the nurse must clean all ports before use is accurate and reflects an essential aspect of maintaining infection control and safety when using central lines. Central lines, which are placed directly into a large vein, are at a higher risk for introducing infections. Cleaning all ports prior to accessing them reduces the risk of contaminants entering the bloodstream. This practice is critical in preventing central line-associated bloodstream infections (CLABSIs). It is part of standard protocol that promotes patient safety and adheres to best practices in clinical settings.

Cleaning the ports minimizes the risk of pathogens that may be present on the skin or the environment, thus protecting the patient during the administration of medications or when drawing blood. Adhering to hand hygiene and proper aseptic techniques, including the disinfection of ports, is fundamental in nursing practice when dealing with invasive devices like central lines.

Other statements either focus on incorrect practices or do not encompass the necessary precautions and best practices associated with central line management.

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