Your patient was admitted with pneumonia 2 weeks ago. She was intubated and sedated for the first 48 hours, a Foley catheter was inserted, and a central venous catheter. She was weaned off of all of her vasoactive medications after the first 96 hours. She has normal saline infusing at 75 ml/hr and intermittent antibiotics (Zosyn) ordered. She has begun working with PT/OT and has been up in the chair for her all meals. Case management is looking for a rehab facility to transfer the patient to in the next few days. Appropriate foley care has been documented and her central line dressing was changed yesterday per protocol. What is your primary concern for this patient?

 

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Correct

- Risk for infection

- Deep venous thrombosis

- Zosyn toxicity

- Hyponatremia

Rationale

This patient has had a Foley catheter and central venous catheter for over 2 weeks. She is ambulatory and no longer on any medications that require central venous access. These devices should be discontinued as soon as they are not longer clinically indicated to significantly decrease their risk for infection.

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Question Information

Nursing Category

Fundamentals

Question Difficulty
Total - 96
Correct - 58
Percent Right - 60.4166666667
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Question ID - 368389

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