A nurse is planning care for a client with a newly inserted peripherally inserted central catheter (PICC). Which interventions should the nurse include in the plan of care? Select all that apply.

Choice A reason: A chest x-ray is required before using a PICC line to ensure proper placement and prevent complications such as pneumothorax or malposition, which could result in ineffective therapy or injury. Choice B reason: Applying a sterile dressing per facility protocol prevents infection at the insertion site and maintains catheter integrity. This is critical for preventing bloodstream infections. Choice C reason: Scheduling daily blood draws from the PICC is unnecessary and may increase the risk of infection. Blood should only be drawn as clinically indicated. Choice D reason: Flushing the PICC line with 0.9% sodium chloride before and after each use maintains patency, prevents clot formation, and ensures the line remains functional for medication administration or fluid therapy. Choice E reason: Regular monitoring of the insertion site for redness, swelling, pain, or discharge allows early identification of infection, phlebitis, or infiltration, ensuring timely intervention and client safety.