A nurse is caring for a client in the medical-surgical unit.
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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The nurse should break the ampule away from the body to avoid injury.
B. The ampule should be disposed of in a sharps container, not in the trash.
C. A filter needle prevents glass particles from entering the syringe, reducing the risk of embolism or irritation.
D. A new needle should be used for injection to prevent glass contamination.
Correct Answer is D
Explanation
A. There is no minimum age requirement; minors can be organ donors with parental consent.
B. A person can remove their name from an organ donor list at any time.
C. Nurses can serve as witnesses for organ donation consent forms.
D. Organ donation wishes should be documented in writing, such as on a driver’s license or an advance directive.
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