A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)
Promote perineal care that includes wiping the perineum from the front to the back.
Obtain orders from the health care provider to discontinue catheters as soon as possible.
Continue prescribed antibiotics even if the client's symptoms have subsided.
Remind clients to urinate right away when they have an urge and to completely empty their bladder.
Encourage adequate fluid intake every day.
Correct Answer : A,B,C,D,E
Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.
Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.
Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.
Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.
Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.
Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.
Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.
Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.
Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.
Correct Answer is D
Explanation
Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially
in clients with pre-existing kidney problems.
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