The nurse is providing indwelling catheter care for a patient who is uncircumcised. What intervention will help prevent a catheter associated urinary tract infection?
Obtain daily urine specimens by opening the collection drainage system.
Keep the urine collection bag below the level of the bladder at all times.
Retract the foreskin to clean the catheter tubing and meatus outward leaving the foreskin retracted.
Change the indwelling catheter at least every one week.
The Correct Answer is B
A. Obtain daily urine specimens by opening the collection drainage system: Opening the drainage system increases the risk of introducing bacteria into the catheter, which can lead to infection.
B. Keep the urine collection bag below the level of the bladder at all times: Keeping the bag below the bladder prevents urine from back flowing into the bladder, which reduces the risk of infection.
C. Retract the foreskin to clean the catheter tubing and meatus outward, leaving the foreskin retracted: While the foreskin should be retracted for cleaning, it must always be returned to its normal position to prevent paraphimosis, a condition where the foreskin becomes trapped and restricts blood flow.
D. Change the indwelling catheter at least every one week: Routine catheter changes are not recommended unless there is an indication such as obstruction or infection. Unnecessary changes increase infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chicken noodle soup with Pedialyte and tea: Chicken noodle soup contains solids (noodles, vegetables, meat), which are not allowed on a clear liquid diet.
B. Chicken broth with Jell-O and coffee: Broth and Jell-O are transparent and fully liquid at room temperature, meeting clear liquid diet guidelines. As long as it is without milk or cream, coffee can be included in the diet.
C. Vegetable broth with yogurt and apple juice: Yogurt is not a clear liquid. Apple juice is okay if filtered, but yogurt makes the meal incorrect.
D. Tomato soup with a popsicle and water: Tomato soup is not clear, as it is opaque and pureed, which disqualifies it from the clear liquid diet.
Correct Answer is B
Explanation
A. "It is okay to take laxatives every day to help you have a bowel movement." Frequent laxative use can lead to dependence and decreased bowel function over time. Instead, non-pharmacologic measures such as fiber intake, hydration, and physical activity should be encouraged first.
B."Do not ignore the urge to have a bowel movement even if you feel it is inconvenient." Ignoring the urge can lead to constipation as stool remains in the colon longer, resulting in increased water absorption and harder stools. Encouraging regular bowel habits helps maintain normal function.
C. "Do not take opiate medications as those can cause constipation." While opiates can cause constipation, this statement is too broad. Some individuals may require opioid therapy for pain management. Instead, the focus should be on preventing and managing opioid-induced constipation rather than avoiding these medications altogether.
D. "Be sure to eat at least 20 grams of fiber and drink at least 1,000mL per day." While increasing fiber intake is important, 20 grams may not be sufficient (the recommended daily fiber intake for older adults is about 25–30 grams). Additionally, 1,000 mL (1 liter) of fluid may be inadequate, as older adults should aim for at least 1,500–2,000 mL per day unless contraindicated.
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