The nurse is teaching the family of a child with a long-term ...

[Lobcity]

The nurse is teaching the family of a child with a long-term central venous access device about signs and symptoms of bacteremia. What finding indicates the presence of bacteremia?
 
  a. Hypertension
  b. Pain at the entry site
  c. Fever and general malaise
  d. Redness and swelling at the entry site

Question 2

What flush solution is recommended for intravenous catheters larger than 24 gauge?
 
  a. Saline
  b. Heparin
  c. Alteplase
  d. Heparin and saline combination

[hanadaa]

Answer to Question 1

ANS: C
Fever, chills, general malaise, and an ill appearance can be signs of bacteremia and require immediate intervention. Hypotension would be indicative of sepsis and possible impending cardiovascular collapse. Pain, redness, and swelling at the entry site indicate local infection.

Answer to Question 2

ANS: A
The recommended solution for flushing venous access devices is saline. The turbulent flow flush with saline is effective for catheters larger than 24 gauge. The use of heparin does not increase the longevity of the venous access device. In 24-gauge catheters, heparin may offer an advantage. Alteplase is used for treating catheter-related occlusions in children. The heparin and saline combination does not offer any advantage over saline or heparin individually.

[Lobcity]

Thank you

[hanadaa]

No problemo