Central Line Infection

2.

Which of the following would not be considered a component of maximal barrier precautions in a central line bundle?

Wearing a nonsterile cap and mask
Wearing sterile gloves
Using a sterile drape to cover the patient's head and body
Wearing nonsterile gloves

Correct Answer

A. Wearing nonsterile gloves

Explanation

Wearing nonsterile gloves would not be considered a component of maximal barrier precautions in a central line bundle because nonsterile gloves do not provide the necessary level of protection against infection. Maximal barrier precautions typically involve the use of sterile gloves to minimize the risk of contamination and infection during the insertion and maintenance of central lines.

Rate this question:

3.

Of the following precautions, which are designed to prevent extraluminal contamination of central lines?

Cleansing of catheter hubs and ports with antiseptic agents such as chlorhexidine or alcohol
Attention to healthcare worker hand hygiene practices before manipulating in-use catheters
Full barrier precautions during catheter insertion, and education of healthcare personnel about proper catheter insertion and site care
Sterile procedures for manufacturing of the infusate

Correct Answer

A. Full barrier precautions during catheter insertion, and education of healthcare personnel about proper catheter insertion and site care

Explanation

The correct answer is full barrier precautions during catheter insertion, and education of healthcare personnel about proper catheter insertion and site care. This is because using full barrier precautions during catheter insertion helps to prevent extraluminal contamination by reducing the risk of introducing bacteria or other pathogens into the central line. Additionally, educating healthcare personnel about proper catheter insertion and site care ensures that they follow sterile procedures and maintain a clean environment, further reducing the risk of extraluminal contamination.

Rate this question:

2

4.

When should antiseptic or anti-infective-coated catheters be used?

When the CLABSI rate exceeds the target goal, even after implementation of practice guidelines
For all high-risk patients, such as bone marrow and solid organ transplant recipients
During an outbreak of resistant bacterial infections in a surgical ICU
For all neonates requiring umbilical artery catheterization

Correct Answer

A. When the CLABSI rate exceeds the target goal, even after implementation of practice guidelines

Explanation

Antiseptic or anti-infective-coated catheters should be used when the CLABSI (central line-associated bloodstream infection) rate exceeds the target goal, even after implementation of practice guidelines. This suggests that standard infection prevention measures are not effective in reducing the infection rate, and additional measures such as using these specialized catheters may be necessary to prevent CLABSI.

Rate this question:

5.

The rate of CLABSI is highest in which of the following patient care settings?

Dialysis unit
Cardiac intensive care unit (ICU)
General medical ward
Outpatient dialysis unit

Correct Answer

A. General medical ward

Explanation

The rate of CLABSI (central line-associated bloodstream infection) is highest in general medical wards. This is because general medical wards typically have a higher number of patients with central lines compared to other patient care settings. Central lines are commonly used in general medical wards for various medical procedures and treatments, making them more susceptible to CLABSI. Additionally, general medical wards may have a higher turnover of patients, increasing the risk of infection transmission.

Rate this question:

1

Central Line Infection

Use of the central line bundle would be appropriate for all of the following types of catheters except:

Quiz Preview

Which of the following would not be considered a component of maximal barrier precautions in a central line bundle?

Of the following precautions, which are designed to prevent extraluminal contamination of central lines?

When should antiseptic or anti-infective-coated catheters be used?

The rate of CLABSI is highest in which of the following patient care settings?