NCLEX National Council Licensure Examination(NCLEX-PN) NCLEX-PN Question # 107 Topic 11 Discussion
NCLEX-PN Exam Topic 11 Question 107 Discussion:
Question #: 107
Topic #: 11
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
A.
to prevent infiltration of the peripheral line
B.
to reduce the pain and discomfort associated with antibiotic administration in a small vein
C.
to lessen the chance of an allergic reaction to the antibiotic
D.
to attempt to eliminate microorganisms in the catheter and prevent having to remove it
Microorganisms that infect CVADs are often coagulase-negative staphylococci, which can be eliminated by antibiotic administration through the catheter. If unsuccessful in eliminating the microorganism, the CVAD must be removed. CVAD use lessens the need for peripheral IV lines and thus the risk of infiltration. In this case, however, the antibiotics are given to eradicate microorganisms from the CVAD. CVAD use has the effect described in Choice 2, but in this case, the antibiotics are given through the CVAD to eliminate the infective agent. The route does not prevent an allergic reaction.Pharmacological Therapies
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