A nurse is caring for a client with an indwelling Foley catheter. Which intervention takes highest priority?
a. Administer antispasmotics for bladder spasms.
b. Provide meticulous perineal care.
c. Provide privacy when assessing the catheter's patency.
d. Record accurate I&O.
B
Privacy and accurate I&O are important components in the care plan for any client with an in-dwelling Foley catheter. However, to prevent nosocomial urinary tract infections secondary to catheter use, the nurse should provide meticulous perineal care, maintain the closed drainage system, and only use the catheter for as long as absolutely necessary. Do not use a Foley catheter for "nurse convenience."
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