A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

"Disconnect the drainage tube if the catheter requires irrigation."

"Keep the collection bag below bladder level."

"Use a size 20 French catheter for catheterization."

"Allow the drainage bag to fill completely before emptying

Answer and Explanation

The Correct Answer is B

A.   Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B.   Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C.   Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D.   Allowing the drainage bag to overfill increases the risk of backflow and infection.

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Correct Answer is A

Explanation

A. A respiratory rate of 7/min is below the normal range and may indicate opioid- induced respiratory depression, which is a life-threatening complication requiring immediate intervention.
B. While important, a distended bladder does not pose an immediate threat to the client's life compared to respiratory depression.
C. Constipation is a common side effect of opioid medications but does not require immediate intervention unless accompanied by severe symptoms such as fecal impaction or bowel obstruction.
D. Pain management is important, but respiratory depression takes priority as it can lead to respiratory arrest and death.

A. Bounding pulses B. Restlessness C. Warm skin D. Brisk capillary refill

Correct Answer is B

Explanation

A. Active bleeding with significant blood is characterized by weak and thread pulses and not bounding pulses.
B. Restlessness can be a sign of hypovolemia and decreased tissue perfusion, which may occur with active bleeding.
C. Warm skin may not necessarily indicate active bleeding but rather normal thermoregulation or vasodilation.
D. Brisk capillary refill is a sign of adequate peripheral perfusion and is not typically associated with active bleeding which is characterized by delayed capillary refill.

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A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

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