A nurse is caring for a client in the medical-surgical unit.

Exhibits

Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.

Use soap and water to provide perineal care.

Place the drainage bag on the bed when transporting the client.

Encourage the client to drink 3000 mL of fluid daily,

Empty the drainage bag when it is half full

Revive the need for the indwelling urinary catheter daily

Change the indwelling urinary catheter tubing every 3 days

Answer and Explanation

Correct Answer : A,D,E

A. Proper perineal hygiene reduces the risk of catheter-associated urinary tract infections (CAUTIs). Using soap and water is recommended over antiseptics, as excessive antiseptic use may disrupt normal flora.
B. The drainage bag should always be kept below the bladder level to prevent urine backflow, which increases UTI risk. The bag should be hung from a non-movable part of the bed or wheelchair.
C. The client has heart failure and is already on a fluid restriction of 1000 mL/day. Encouraging excessive fluid intake could worsen fluid overload and heart failure symptoms.
D. Urinary catheter bags should be emptied regularly (preferably when half full) to prevent urine backflow, which increases the risk of infection. Overfilled bags can create backpressure and promote bacterial growth.
E. Indwelling catheters should be removed as soon as possible to reduce the risk of CAUTIs. Daily assessment ensures that the catheter is removed when no longer necessary.
F. Routine changing of catheter tubing is not recommended unless there are signs of infection, leakage, or blockage. Frequent changes can introduce bacteria and increase infection risk.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Nasal congestion is a possible side effect of ARBs, but it is not life-threatening.
B. Checking laboratory results is not the immediate priority.
C. Monitoring urine output is important in kidney function, but the immediate concern is hypotension.
D. Valsartan is an angiotensin II receptor blocker (ARB) used for hypertension. A double dose increases the risk of hypotension, which can cause dizziness, syncope, and falls. The priority is to monitor for orthostatic hypotension.

A. A client who is ambulatory and receiving oxygen B. A client who has a fracture and is in balance suspension traction C. A client who is bedridden and wears a hearing aid D. A client who uses a wheelchair and is confused

Correct Answer is A

Explanation

A. Ambulatory clients should be evacuated first because they require the least assistance and can move quickly.
B. Clients with limited mobility should be evacuated last, as they require more assistance.
C. Clients with limited mobility should be evacuated last, as they require more assistance.
D. Clients with limited mobility should be evacuated last, as they require more assistance.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client in the medical-surgical unit. Exhibits Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take?

Correct Answer is D

Explanation

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

Correct Answer is A

Explanation

A nurse is assessing a client who is experiencing hypovolemia. Which of the following manifestations should the nurse expect?

A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?

A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?

A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. Which of the following information should the nures include in the teaching?

The nurse reviews the entries in the medical record. Exhibits The nurse is preparing the client for a blood transfusion. Which of the following actions should the nurse take? Select all that apply.

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?

A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?

A nurse is caring for a client in the medical-surgical unit.

Exhibits

Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.