A nurse is collecting data from a client who is experiencing ketoacidosis. Which of the following manifestations should the nurse expect to find?

A. Review the need for the indwelling urinary catheter daily: Daily review of catheter necessity reduces the risk of catheter-associated urinary tract infections (CAUTIs). Prompt removal when no longer needed limits bacterial entry and colonization, which significantly lowers infection rates in hospitalized clients.

B. Empty the drainage bag when it is half full: The drainage bag should be emptied when it is about two-thirds full, not half full, to prevent backflow and reduce strain on the system. Emptying too early or too often increases the risk of introducing pathogens into the closed system.

C. Use soap and water to provide perineal care: Using soap and water for perineal hygiene maintains cleanliness and reduces bacterial colonization near the catheter site. Routine perineal care is a critical intervention to minimize the risk of ascending infections into the urinary tract.

D. Place the drainage bag on the bed when transporting the client: The drainage bag must remain below bladder level during transport to prevent backflow of urine into the bladder. Placing the bag on the bed risks contamination and promotes reflux of potentially infected urine.

E. Encourage the client to drink 1000 mL of fluid daily: Although hydration generally helps prevent UTIs, this client is on a strict 1000 mL fluid restriction due to heart failure. Encouraging more fluid intake could worsen fluid overload and does not align with current prescribed therapy.

F. Change the indwelling urinary catheter tubing every 3 days: Routine changing of catheter tubing is not recommended unless clinically indicated (e.g., contamination, obstruction, infection). Unnecessary manipulation increases the risk of introducing pathogens into the urinary system.

A. Smoking in bed: Smoking in bed is a major fire hazard and one of the leading causes of residential fires. Falling asleep with a lit cigarette can easily ignite bedding, mattresses, or upholstered furniture, leading to fast-spreading, deadly fires. This behavior significantly increases the risk of injury or death from residential fires.

B. Leaving the stove on: Leaving the stove unattended can also cause kitchen fires, but cooking-related incidents typically lead to localized fires rather than being the top cause of overall residential fires. Proper supervision while cooking is important, but smoking in bed remains a more dangerous, widespread cause of fatal home fires.

C. Lack of smoke detectors: Lack of smoke detectors does not cause fires but delays detection, increasing the risk of injury or death once a fire has already started. While smoke detectors are crucial for early warning and safety, they are not an ignition source that directly leads to the start of residential fires.

D. Placing a space heater 5ft from bed: Placing a space heater 5 feet away from a bed is generally considered safe, as heaters need clearance but are unlikely to cause fires at that distance. Improper use of space heaters can be hazardous, but when correctly placed, they are not the primary cause of residential fires compared to smoking in bed.