A 13-Year-Old Male Is Admitted to the Pediatric Intensive Care

Multiple Choice

A 13-year-old male is admitted to the pediatric intensive care unit. The patient has a history of mental retardation and cerebral palsy following an anoxic injury as an infant. The patient was admitted two months earlier due to aspiration pneumonia, necessitating a lengthy hospital stay, mechanical ventilation, and intravenous antibiotics. His caregiver reports another aspiration event two days prior. For the past 24 hours, the patient has been lethargic with a frequent cough producing thick sputum. Upon presentation to the hospital, the patient is noted to have a fever, low oxygen saturations, and low blood pressure. Upon arrival to the intensive care unit, the patient is cool, pale, and has poor pulses and capillary refill. Following administration of intravenous fluid boluses, it is determined the patient needs central venous access for fluid and medication administration. The RN prepares for the sterile procedure.
-Following successful placement of the central venous line,the RN is diligent to prevent infection when accessing the catheter and administering medications.Which of the following actions should be completed prior to use of the line?  

A) Hand washing
B) Disinfection of the access port with alcohol prior to use
C) Application of gloves
D) Hand washing,application of gloves,and disinfection of the access port with alcohol should all be completed prior to use of the line.