Which action helps reduce central line-associated bloodstream infection risk when administering IV medication?
1Disconnect the line between doses to let the catheter rest.
2Scrub the catheter hub with antiseptic before access.✓ Correct answer
3Use the same tubing set indefinitely if it still flushes.
4Skip hand hygiene if gloves will be worn.
Explanation
Hub disinfection before access reduces the risk of introducing organisms into the central line. Hand hygiene remains necessary even when gloves are worn. Unnecessary disconnection and indefinite tubing use can increase infection risk.
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Central line hub disinfection.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical Practice GuideFor Central line hub disinfection, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
CautionDo not choose an action from one isolated cue when the full scenario changes priority or safety.
Central Line — An IV catheter with the tip in a central vein.
CLABSI — Central line-associated bloodstream infection.
Hub Disinfection — Cleaning the catheter access point before use.