A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care?
Explanation & Rationale
A) Administer sedation for the procedure: The administration of sedation is typically the responsibility of an anaesthesiologist or a provider. While some procedures may require sedation, the nurse does not initiate this without an order, making this option less appropriate. B) Schedule an MRI post procedure to verify placement: MRI is not a standard method for verifying the placement of a peripherally inserted central catheter (PICC). Instead, a chest X-ray is usually performed to confirm correct placement in the superior vena cava, making this option inappropriate. C) Measure the arm circumference above the insertion site daily: This intervention is appropriate as it helps monitor for complications such as swelling or thrombosis. Measuring the circumference can provide important information about the vascular status of the limb and any potential complications related to the catheter. D) Use gauze to secure an arm board to the involved extremity: While stabilization of the arm may be necessary, gauze is not typically used to secure an arm board. Instead, secure devices or appropriate taping techniques are preferred. This option may not be the most effective or appropriate method for stabilization.