Categorize each vascular-access situation according to the CDC-aligned next step.
Matrix Multiple Choice
Choose your responses, then check the answer.
Explanation
Peripheral catheters are removed for phlebitis, infection, malfunction, or lack of need. Central catheters are not removed for fever alone, and routine scheduled replacement is not recommended.
Quick answer Sort the situations into remove now, do not remove for this reason alone, or guidewire-exchange candidate.
Why this is correct CDC recommendations distinguish a clear removal indication from unsupported routine replacement. A malfunctioning non-tunneled catheter without infection may be eligible for guidewire exchange, while suspected infection is not.
Easy analogy or mental picture Decide whether the line is dangerous, merely under suspicion, or mechanically replaceable before choosing the tool.
Memory hook Phlebitis, infection, malfunction, or no need: remove; fever alone is not enough.
NCLEX decision rule Base removal on the catheter and clinical evidence, not on a calendar or a single nonspecific finding.
Why the other choices are wrong Routine CVC replacement adds procedure risk without prevention benefit, and fever from another source does not prove a catheter infection.
References
1CDC: Intravascular Catheter Infection RecommendationsDressing replacement and catheter maintenance
2CDC: Catheter Prevention StrategiesRemoval for phlebitis, infection, malfunction, or lack of need
Access-device decisionIdentify the device, local findings, evidence of infection, mechanical function, and ongoing need before selecting removal or exchange.