A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter.
Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?

Loop the tubing so that it is lower than the collection bag.

Keep the urinary bag at bladder level when ambulating.

Obtain urinary samples by disconnecting the tubing connections.

Secure the catheter to the client's thigh.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Looping the tubing so that it is lower than the collection bag creates a dependent loop where urine can pool, increasing the risk of UTI. This practice should be avoided as it can lead to bacterial contamination and subsequent infections.

Choice B rationale:

Keeping the urinary bag at bladder level when ambulating helps maintain a continuous flow of urine into the collection bag without creating dependent loops. This practice minimizes the risk of bacterial contamination and reduces the chances of acquiring a UTI.

Choice C rationale:

Obtaining urinary samples by disconnecting the tubing connections is not recommended. This procedure can introduce bacteria into the urinary system, increasing the risk of UTI. Sterile techniques, such as using a catheter port for sampling, should be followed to minimize the risk of infection.

Choice D rationale:

Securing the catheter to the client's thigh is essential to prevent tension and pulling on the catheter, which can cause trauma to the urethra. However, securing the catheter alone does not minimize the risk of UTI. Proper hygiene, closed drainage system, and maintaining a continuous flow of urine into the collection bag are key factors in preventing UTIs in clients with indwelling urinary catheters.

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Correct Answer is A

Explanation

A. Correct. In a laissez-faire leadership style, the leader allows the group to freely discuss topics of interest. This approach promotes open discussion and sharing of information.

B. Incorrect. This choice is not relevant to the leadership style described.

C. Incorrect. This choice is not relevant to the leadership style described.

D. Incorrect. This choice is not relevant to the leadership style described.

A. Premature atrial complexes B. Complete heart block C. Atrial fibrillation D. First-degree atrioventricular block

Correct Answer is D

Explanation

A. Incorrect. Premature atrial complexes do not typically affect the P-R interval. They are characterized by an early P-wave followed by a QRS complex.
B. Incorrect. Complete heart block is characterized by a dissociation between the P-waves and QRS complexes, resulting in no relationship between atrial and ventricular activity.
C. Incorrect. Atrial fibrillation is characterized by chaotic and irregular atrial activity without distinct P-waves, making the P-R interval irrelevant.
D. Correct. In first-degree atrioventricular block, the P-R interval is prolonged beyond the normal range of 0.12-0.20 seconds. A constant P-R interval of 0.35 seconds indicates a first- degree atrioventricular block.

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A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter.Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?

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A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter.
Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?