A patient has developed a local infection at an IV insertion site. Before the IV was inserted, the site was cleansed with a product with an ethanol concentration of 70%
The nurse will report the local infection to the provider and expect to receive an order to:
a. administer a systemic antimicrobial agent.
b. apply a topical antiseptic agent to the infected area.
c. culture the site to assess for C. difficile.
d. use a topical agent containing 95% ethanol.
ANS: A
Once an infection has occurred, systemic antimicrobials are recommended as treatment. Topical antiseptics will not be as effective. C. difficile occurs in the intestines. Concentrations of ethanol greater than 70% are less effective, and ethanol should not be applied to open wounds because of the risk of tissue damage and coagulation of proteins.
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