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NCLEX-RN (Registered Nurse) Practice Exam · Question

Which action should the nurse take first when a patient with a central venous catheter develops a fever and chills?

Fever and chills in a patient with a central line suggest a central line-associated bloodstream infection (CLABSI). Blood cultures are needed to identify the pa

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Question: Which action should the nurse take first when a patient with a central venous catheter develops a fever and chills?

Answer options:

  • Administer broad-spectrum antibiotics.
  • Notify the physician. ✅ Obtain blood cultures from the catheter and peripheral site.
  • Remove the central venous catheter.

Correct answer: Obtain blood cultures from the catheter and peripheral site.

Explanation: Fever and chills in a patient with a central line suggest a central line-associated bloodstream infection (CLABSI). Blood cultures are needed to identify the pathogen.

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