The nurse is caring for a patient with an indwelling urinary catheter. Which instructions should the nurse provide to help prevent development of a urinary tract infection? (Select all that apply.)
a. Limit fluid intake to decrease the flow of urine.
b. Position the tubing to allow free flow of the urine.
c. Use aseptic technique when emptying the drainage bag.
d. Wash the perineum with an antibacterial soap every 8 hours.
e. Keep the catheter securely taped to prevent catheter movement.
f. Empty the urinary bag every 4 hours to prevent stagnation of urine.
ANS: B, C, E
The nurse should instruct to position the tubing to allow free flow of urine, use aseptic technique when emptying the drainage bag, and keep the catheter securely taped or fastened to the leg. A. Fluids should be encouraged. D. The perineum should be washed daily and prn. F. The drainage bag does not need to be emptied every 4 hours.
You might also like to view...
A nurse assessing a patient's cognition will include which elements as part of the assessment? Select all that apply
1. Humor 2. Insight 3. Memory 4. Judgment 5. Fund of knowledge
The level of significance usually set in nursing studies is at either:
a. .5 or .1. b. .03 or .003. c. .05 or .01. d. .005 or .001.
Which of the following aspects of the physical are important to note when assessing the patient for peripheral vascular disease in the arms?
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery and radiation therapy, and a history of hypertension comes to your office for a routine checkup. A) Femoral pulse, popliteal pulse B) Dorsalis pedis pulse, posterior tibial pulse C) Carotid pulse D) Radial pulse, brachial pulse
The nurse is caring for a client with a history of endocarditis who reports difficulty breathing and the feeling of an elephant is sitting on the chest. What is the nurse's first priority?
a. Obtain an EKG b. Assess for recent IV drug use c. Assess oxygen saturation d. Auscultate the lungs