# Place the actions in order for changing a transparent central venous catheter dressing using the facility's sterile-glove method.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=395528&lang=en  
> language: en  
> subject: Complications of Procedures  
> category: ROR

## Question

Place the actions in order for changing a transparent central venous catheter dressing using the facility's sterile-glove method.

Clean the site with the prescribed greater-than-0.5% chlorhexidine-alcohol preparation and allow it to dry fully without repalpating

Don clean gloves, stabilize the catheter, remove the old dressing toward the insertion site, and inspect for redness, drainage, tenderness, migration, or damage

Verify the indication and client, explain the procedure, gather supplies, apply masks as required, perform hand hygiene, and position the client

Remove the used gloves, perform hand hygiene, open the sterile supplies, and don sterile gloves without contaminating the field

Apply a sterile transparent semipermeable dressing, secure without obscuring the site, label it, and document the site assessment and change

## Explanation

Prepare the client and supplies before exposing the site. Clean gloves protect the nurse during removal of the old dressing; stabilize the catheter and inspect for infection, migration, or damage. After glove removal and hand hygiene, use the facility's sterile-glove method to preserve a new aseptic field. Apply chlorhexidine-alcohol and allow complete drying before placing a sterile dressing. CDC permits clean or sterile gloves for dressing changes when aseptic technique is maintained; this scenario specifies the facility's sterile-glove method.

## In-depth explanation

Correct sequence
Prepare → remove and inspect → change gloves and re-establish asepsis → chlorhexidine and dry → sterile dressing and documentation.

Why this is correct
Hand hygiene before and after catheter-site care, aseptic technique, appropriate chlorhexidine-alcohol antisepsis, full drying, and a sterile covering reduce contamination risk. A damp, loose, or visibly soiled dressing should be replaced.

NCLEX decision rule
Do not place a new dressing over wet antiseptic, and do not sacrifice catheter stabilization while removing adhesive.References
1CDC: Strategies for Prevention of Catheter-Related Infections
2CDC: Summary of Intravascular Catheter Recommendations

## Clinical scenario

Central-line maintenance
The dressing is loose and must be replaced now. The catheter remains necessary, the insertion site is dry, and chlorhexidine is not contraindicated. Preserve catheter position and follow the product instructions and facility policy.

## Key concepts

- **Aseptic Non-Touch Technique** — A method that protects key sterile parts and sites from direct or indirect contamination.
- **Chlorhexidine-Alcohol** — A skin antiseptic combination recommended for central-line site preparation when not contraindicated.
- **CLABSI** — A central line-associated bloodstream infection identified in a client with a qualifying central venous catheter.

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