A nurse is reinforcing teaching with a client who has ovarian cancer and will receive chemotherapy through a peripherally inserted central catheter (PICC) line. Which of the following statements by the client indicates an understanding of the teaching?
Explanation & Rationale
A. "I will wear an arm immobilizer to prevent dislodgement of this device.": Arm immobilizers are not required for PICC lines. Gentle activity and avoiding heavy lifting on the affected arm are sufficient to prevent dislodgement without restricting normal movement. B. "I will monitor my temperature for fever while I have this device.": Monitoring for fever is essential because a PICC line increases the risk of bloodstream infections. Early detection of infection allows prompt intervention, reducing complications associated with chemotherapy and central line use. C. "It's okay to get the device wet when I shower.": PICC lines must be kept dry to prevent infection. Clients should cover the site with a waterproof dressing or follow facility-specific guidelines during bathing to maintain sterility. D. "I should pull the dressing away from the insertion site when I change it.": Dressings should never be pulled directly off the insertion site as this can dislodge the catheter and increase infection risk. Proper technique involves gently lifting edges and following sterile procedures.