Pediatric ATI Practice Exam

For a child receiving long-term antibiotic therapy, how is the PICC line maintained?

1. The line requires sterility and proper flushing.

2. The line can be left unsecured to allow movement.

3. The line must be changed daily to prevent infection.

4. The line can be covered with any type of dressing.

The correct answer is: The line requires sterility and proper flushing.

The maintenance of a PICC (Peripherally Inserted Central Catheter) line is crucial for preventing complications, particularly infections, which can be a significant risk when a child is on long-term antibiotic therapy. Maintaining sterility is essential because the PICC line is a direct access point to the bloodstream, and any break in the sterile technique can introduce pathogens. Proper flushing is important as well; it helps to maintain line patency and prevents the formation of clots within the catheter. Regular flushing with a sterile solution, usually normal saline, is part of the standard care for ensuring that the line remains clear and functional. The other choices do not align with safe practices for PICC line maintenance. Leaving the line unsecured could increase the risk of accidental dislodgment or breaks in sterility. Changing the line daily isn’t necessary and could actually lead to increased risk of infection due to frequent handling and exposure to the open air. Additionally, it is critical to cover the line with a dressing that is specifically designed for catheter maintenance; using any type of dressing may not provide the needed protection and could compromise sterility and access.