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一位病人正透過中心靜脈導管接受靜脈營養。請標示出需要立即進行導管感染追蹤的發現。

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Domain領域	Finding發現
Systemic全身性	New fever with shaking chills during the infusion輸注期間出現新發燒伴寒顫
Site置入部位	Purulent drainage at the catheter insertion site導管置入部位有膿性引流液
Site置入部位	New tenderness along the catheter tract導管路徑出現新壓痛
Dressing敷料	Transparent dressing is wet and lifting at two edges透明敷料潮濕且兩邊翹起
Dressing敷料	Dressing is clean, dry, dated, and intact敷料清潔、乾燥、有日期且完整
Lumen管腔	Dedicated lumen remains capped when not in use專用管腔在不使用時保持封蓋
Technique技術	Antiseptic solution was allowed to dry before access消毒液在操作前已允許乾燥
Monitoring監測	Temperature remains at the documented baseline體溫保持在記錄的基準值

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相同主題的下一題A client is admitted to the emergency department after ingesting an unknown amount of acet…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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