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.

Change the indwelling urinary catheter tubing every 3 days

Encourage the client to drink 3000 ml of fluid daily.

Review the need for the indwelling urinary catheter daily

Place the drainage beg on the bed when transporting the client

Answer and Explanation

Correct Answer : A,D,E

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The client is at highest risk for developing mastitis evidenced by the client's visible cracknoted on left nipple

A. Limit oral feedings to 30 min in length. B. Check the infant's oxygen saturation every 6 hr. C. Weigh the infant every other day. D. Place the infant in the prone position for naps.

Correct Answer is A

Explanation

A. Correct. Infants with heart failure may tire easily during feedings, so limiting oral feedings to 30 minutes helps prevent excessive fatigue and ensures they are able to feed effectively without becoming overtired.
B. Incorrect. This is not frequent enough for an infant with heart failure. Oxygen saturation should be monitored more frequently, such as every 1-2 hours or as indicated by the clinical situation, to ensure adequate oxygenation and detect any changes promptly.
C. Incorrect. Weighing the infant daily is more appropriate to monitor fluid balance and heart failure progression.
D. Incorrect. Placing the infant in the prone position is contraindicated due to the risk of compromising respiratory function.

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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.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a postpartum client in an outpatient setting. Exhibits A nurse is caring for a postpartum client in an outpatient setting. Complete the following sentence by using the lists of options. The client is at highest risk for developing evidenced by the client's

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

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Correct Answer is A

Explanation

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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.