Approach to nosocomial infections Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 62-year-old man is evaluated in the intensive care unit on the fourth day of hospitalization. The patient was admitted with an upper gastrointestinal bleed which led to hemorrhagic shock. A urinary catheter and internal jugular vein central venous catheter were both placed on admission. The patient was transfused with three units of packed red blood cells and underwent upper endoscopy with endoscopic treatment of a bleeding gastric ulcer. Hemoglobin has been stable since then. Today the patient’s temperature is 38.7 ºC (101.7 ºF), pulse is 108/min, blood pressure is 99/58 mmHg, respirations are 14/min, and oxygen saturation is 99% on room air. The skin around the central venous catheter is erythematous. Blood cultures are obtained and Staphylococcus aureus grows out of 2 bottles. Urinalysis shows 3-5 white blood cells/hpf and is negative for leukocyte esterase and nitrites. Which of the following is the best next step in management?
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