Author Question: A client with a central venous catheter develops a catheter-related bloodstream infection (CRBSI). ... (Read 57 times)

torybrooks · **on:** Jul 22, 2018

A client with a central venous catheter develops a catheter-related bloodstream infection (CRBSI). The nurse understands that which route is the most common for causing this type of infection?

A) catheter tip contamination due to skin organisms encountered during insertion
B) an infection in another part of the body traveling to the catheter tip
C) contamination of the infusion solution being used
D) irregularities in the catheter's material

Question 2

The nurse is discussing epidural analgesia with the nursing student. Which of statement by the nursing student indicates a need for additional education?

A) Epidural analgesia is always administered in a continuous infusion to prevent or treat pain.
B) The client may be able to control the epidural analgesia infusion.
C) The epidural analgesia may be used in the laboring client.
D) The epidural is always discontinued after delivery of the newborn.

leahm14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: A
Feedback:
There are four recognized routes for catheter contamination. The most common route of infection is colonization of the catheter tip due to migration of skin organisms from insertion site. Direct contamination of the catheter or catheter hub is also a contributing factor (O'Grady, N.P., et al, 2011). Less common, the catheters may be contaminated by organisms that migrate from infections in other areas of the client. Rarely, the infusion itself may be contaminated. Additionally, the material the catheter is made from may contribute to CRBSI. Silastic catheters are associated with higher risk of catheter infections due to surface irregularities that allow development of a biofilm formation along the catheter's inner lumen.

Answer to Question 2

Ans: A
Feedback:
The infusion can be set on a continuous rate (basal mode) or an intermittent mode controlled by the client (patient-controlled epidural analgesia PCEA). It is commonly used in labor and discontinued after delivery.