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    Ati Lpn Medical Surgical Nursing 1 Proctored Exam

    When assessing a resident in a long-term care facility who has developed a central line-associated bloodstream infection (CLABSI), which priority intervention should the nurse implement?

    Explanation & Rationale

    Rationale: A. A client with a bloodstream infection requires frequent and ongoing monitoring, not limited vital sign checks. Infections such as CLABSI can progress rapidly to sepsis, so once-daily monitoring is inadequate and unsafe. B. CLABSI is not typically transmitted via casual contact like respiratory or gastrointestinal infections. Standard precautions are sufficient; isolation is not the priority intervention unless another transmissible infection is present. C. This is incorrect as the priority. While maintaining adequate hydration may be beneficial and supportive, it does not directly treat the underlying bloodstream infection and should not take precedence over antimicrobial therapy. D. A CLABSI is a serious, potentially life-threatening infection. Prompt administration of prescribed broad-spectrum antibiotics is the priority intervention to control the infection, prevent progression to sepsis, and reduce morbidity and mortality. Antibiotics are often started empirically and later adjusted based on culture and sensitivity results.

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