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.

Answer and Explanation

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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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.

Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.

Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.

Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that

control the bladder.

Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.

A. "I must wash my hands every time before I connect the tubing to the catheter in my stomach." B. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity." C. "I will weigh myself daily and keep track of my weight in my dialysis record." D. "I will complete the instillation of fluid once a day at bedtime." E. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."

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.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

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