A client's catheter bag was left on the client's bed for a prolonged period of time, and the client develops a urinary tract infection (UTI). In evaluating the cause of the infection, which should the nurse identify as the infection reservoir?
Client's bladder.
Catheter tubing.
The client's bed.
Urinary meatus.
The Correct Answer is B
A. Client's bladder: The bladder is typically sterile. Infection is most likely introduced from external sources such as the catheter or tubing.
B. Catheter tubing: The catheter and its tubing can harbor bacteria, which increases the risk of a urinary tract infection.
C. The client's bed: Although the bed should be kept clean, it is unlikely to be the direct source of infection.
D. Urinary meatus: The meatus is usually sterile, and infection is more likely to arise from the catheter or tubing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtaining a history of recent bleeding and anticoagulant use is essential but should not delay immediate stabilization.
B. Elevating the head of the bed to 30 degrees helps reduce intracranial pressure and promotes cerebral perfusion, which is a priority in stroke management.
C. Sequential compression devices (SCDs) are useful for preventing deep vein thrombosis (DVT) but are not an immediate intervention.
D. Elevating dependent joints on the affected side does not have immediate benefits for stroke management.
Correct Answer is D
Explanation
A. Withholding the next dose of low molecular weight heparin is not indicated unless there is active bleeding.
B. Monitoring the white blood cell count is not the immediate priority in this situation. Wound drainage is more relevant.
C. The continuous passive motion device is used for promoting mobility, but it is not related to the issue of excessive drainage.
D. Saturated dressing with serosanguineous drainage after surgery can be normal initially, but ensuring the wound drainage device is functioning correctly is crucial to prevent complications like hematoma or excessive swelling.
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