A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?
Explanation & Rationale
A. A PICC line provides long-term intravenous access for clients requiring prolonged antibiotic therapy, such as 12 weeks for bacterial endocarditis. It is suitable for home infusion therapy, allows frequent blood draws, and reduces the need for repeated venipuncture, minimizing vein irritation and infection risk. B. An implanted port is typically used for long-term intermittent therapy (e.g., chemotherapy). While it can provide central access, placement is surgical, making it less practical for continuous long-term antibiotic therapy at home. C. An AV fistula is created surgically for hemodialysis access, not for intravenous antibiotic therapy. It is not appropriate for prolonged infusion in endocarditis. D. Short peripheral IVs are not suitable for long-term therapy due to high risk of phlebitis, infiltration, and frequent site changes. They are typically used for short-term or intermittent therapy, not 12-week continuous antibiotics.