Which nursing intervention decreases the risk for CAUTI (Catheter-Associated Urinary Tract Infections)?

Irrigating the urinary catheter with sterile water.

Hanging the urinary drainage bag below the level of the bladder.

Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution

Emptying the urinary drainage bag daily

Answer and Explanation

The Correct Answer is B

A. Irrigating the urinary catheter with sterile water: Not routine; only done if there is obstruction or as prescribed. Frequent irrigation increases infection risk by introducing bacteria.

B. Hanging the urinary drainage bag below the level of the bladder: Prevents backflow of urine, reducing CAUTI risk. Never let the bag touch the floor.

C. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution: Unnecessary and can irritate the urethra. Routine perineal care with soap and water is enough.

D. Emptying the urinary drainage bag daily: Should be emptied at least every 8 hours or when half full, not just daily. Reduces bacterial growth and backflow.

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Correct Answer is D

Explanation

A. Sodium: Measures fluid balance, not protein status.

B. Potassium: Related to muscle function, heart rhythm, and renal function, not protein synthesis.

C. Calcium: Bone and nerve function, not a protein marker.

D. Albumin: Best indicator of protein status because it reflects protein intake and synthesis. Low levels can indicate malnutrition, liver disease, or chronic illness.

A. "It is not normal to see food particles in the stool," B. "Some people with colorectal cancer have unexplained abdominal or back pain." C. "Blood in the stool is one warning sign I need to look for." D. "I need to let my doctor know if my bowel habits start to change." E. "Muscle aches are common in people with colorectal cancer."

Correct Answer is ["B","C","D"]

Explanation

A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.

B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.

C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.

D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.

E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.

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Which nursing intervention decreases the risk for CAUTI (Catheter-Associated Urinary Tract Infections)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

Correct Answer is D

Explanation

A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

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