# 根據 CDC 建議的下一步，將每個血管通路情況進行分類。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=zh-tw > language: zh-TW > subject: Continuity of Care > category: MOC ## 題目 根據 CDC 建議的下一步，將每個血管通路情況進行分類。 **1.** 周邊靜脈導管有溫熱感、壓痛、紅斑和可觸及的靜脈索 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present **2.** 周邊靜脈導管滲漏，且儘管檢查位置後仍無法輸注 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present **3.** 周邊靜脈導管保持完整，但病人不再需要靜脈治療 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present **4.** 一位需要 PICC 的病人發燒，且已確認為非導管感染，導管部位無發現 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present **5.** 一個功能正常的中央靜脈導管達到常規排程更換日期 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present **6.** 一個非隧道式中央導管功能障礙，無感染證據 Select a category Remove the catheter now Do not remove for this reason alone Guidewire-exchange candidate if no infection is present ## 解析 周邊導管因靜脈炎、感染、功能障礙或不再需要而移除。中央導管不應僅因發燒而移除，也不建議常規排程更換。 ## 深入解析 快速解答 將情況分類為立即移除、不應僅因此原因移除，或導線更換候選。 為何這是正確的 CDC 建議區分了明確的移除指徵與不被支持的常規更換。功能障礙的非隧道式導管若無感染，可能符合導線更換的條件，而疑似感染則不符合。 簡單類比或心像 在選擇工具之前，先判斷管路是危險的、僅僅是可疑的，還是機械上可更換的。 記憶點 靜脈炎、感染、功能障礙或不再需要：移除；單純發燒不足以移除。 NCLEX 決策規則 移除應基於導管和臨床證據，而非日曆或單一非特異性發現。 為何其他選項是錯誤的 常規 CVC 更換會增加手術風險而無預防益處，且來自其他來源的發燒並不能證明導管感染。References 1CDC: Intravascular Catheter Infection RecommendationsDressing replacement and catheter maintenance 2CDC: Catheter Prevention StrategiesRemoval for phlebitis, infection, malfunction, or lack of need ## 臨床情境 通路裝置決策 在選擇移除或更換之前，請確認裝置、局部發現、感染證據、機械功能和持續需求。 ## 相同主題題目 - [A nurse is transferring an older adult from a hospital to a long-term care facility. For e…](https://mymerci.kr/pages/nclex_q.php?qn_id=393407&lang=zh-tw) - [Review the discharge timeline and determine how the nurse should manage the medication dis…](https://mymerci.kr/pages/nclex_q.php?qn_id=393509&lang=zh-tw) - [Drag each discharge-planning finding to the action domain that best closes the transition-…](https://mymerci.kr/pages/nclex_q.php?qn_id=393516&lang=zh-tw) - [Review the discharge-readiness timeline for a client with a new colostomy and determine ho…](https://mymerci.kr/pages/nclex_q.php?qn_id=395215&lang=zh-tw) - [Place the medication-reconciliation actions in order for a client transitioning from the h…](https://mymerci.kr/pages/nclex_q.php?qn_id=395471&lang=zh-tw) - [Place the nursing actions in order when transferring a deteriorating client from a medical…](https://mymerci.kr/pages/nclex_q.php?qn_id=396350&lang=zh-tw) - [Transportation has arrived for a client being discharged with a new tracheostomy. The sole…](https://mymerci.kr/pages/nclex_q.php?qn_id=397304&lang=zh-tw) - [The nurse compares the electronic health record before discharge. Which action is the prio…](https://mymerci.kr/pages/nclex_q.php?qn_id=513809&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=513950&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_