— 安全與感染控制 · HARD · SATA —
一位裝有中心靜脈導管（CVC）的病人，出現哪些跡象顯示可能有感染？（選所有適合的）
Which findings in a client with a central venous catheter (CVC) indicate a potential infection? (Select all that apply.)
- AErythema at the insertion site✓ 正解插入部位發紅
- BPurulent drainage at the site✓ 正解部位有膿性分泌物
- CUnexplained fever or chills✓ 正解不明原因的發燒或畏寒
- DLocal tenderness or pain✓ 正解局部壓痛或疼痛
- EClear, blood-tinged dressing透明且帶有血絲的敷料
— Explanation · 中文詳解 —
中心靜脈導管（CVC）感染（CRBSI）是嚴重的醫院內感染。評估重點包括局部徵兆：紅腫（Erythema）、膿性分泌物（Purulent drainage）、壓痛（Tenderness）。全身徵兆則包括不明原因發燒或寒顫。這些跡象提示導管可能發生細菌聚落生長或敗血症，必須立即通知醫師並採取抽血培養與抗生素介入。
Signs of a central line-associated bloodstream infection include local indicators such as erythema, purulent drainage, and tenderness at the insertion site, as well as systemic signs like unexplained fever or chills. These findings suggest bacterial colonization or sepsis and require immediate notification of the provider for cultures and antibiotic intervention.