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Caregiver flushes the central venous catheter and they feel an unusual amount resistance to flushing. The catheter has the following appearance (see photo below). They call HPN on-call for advice. What is the first thing you should advise family to do? A. Offer reassurance if central line is not...

A family notices there is bleeding at the central line site (see photo below). What is this? A. Tumor B. Bacterial Infection C. Granulation tissue D. Psoriasis E. Pustule Click here for answer Go to previous question Go to next question

Family notices there is bleeding at the central line site (see photo below). What is this? A. Tumor B. Bacterial Infection C. Granulation tissue D. Psoriasis E. Pustule The correct answer is c. Granulation tissue. This is granulation tissue at the exit site. It is made of connective tissue with...

Patient complains of pain and burning during central line dressing changes with chlorhexadine. Central line exit site has the following appearance (see below). What is the proposed treatment plan? A. Use betadine cleanse for central line dressing changes for chemical burn. B. Prescribe IV...

Patient had redness near central line exit site. The central line was inserted 1 year ago. The patient has no fevers or chills. What is the next step? A. Remove suture. B. Remove central line. C. Prescribe broad spectrum antibiotics. D. Prescribe steroids. E. Reassurance The correct answer is a...

Patient complains of fevers, chills and pus coming from central line exit site. What is the diagnosis? A. Central line exit-site and tunnel infection B. Contact dermatitis C. Cutaneous candidiasis D. Varicella-Zoster E. Normal Click here for answer Go to previous question Go to next question

Patient complains of fevers, chills and pus coming from central line exit site. What is the diagnosis? A. Central line exit-site and tunnel infection B. Contact dermatitis C. Cutaneous candidiasis D. Varicella-Zoster E. Normal The correct answer is a. Central line exit-site and tunnel...

2 year-old male had a recent adjustment in parenteral nutrition infusion cycle from 18 to 12 hours. There was no change in PN concentration. As a result, the glucose of infusion rate changed from 14 to 25 mg/kg/minute. Mother calls to complain that has symptoms of polydipsia and dehydration during...