An older female client with a history of urinary tract infections has an indwelling urinary catheter. What should the nurse do to reduce this client's risk of developing an infection because of the catheter?
1. Maintain a sterile closed drainage system.
2. Clean the peri-urethral area with antiseptics.
3. Ensure the catheter and tubing are not kinked.
4. Wash his or her hands before manipulating the catheter.
5. Keep the collection bag below the level of the bladder.
Correct Answer: 1, 3, 4, 5
Rationale 1: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should maintain a sterile closed drainage system.
Rationale 2: Cleaning the peri-urethral area with antiseptics is an action that should be avoided.
Rationale 3: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should maintain unobstructed urine flow by making sure the catheter and tubing are not kinked.
Rationale 4: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should wash his or her hands before any manipulation of the catheter or collection system.
Rationale 5: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should keep the collection bag below the level of the bladder at all times.
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