When caring for a hospitalized patient with a urinary catheter, which nursing action best prevents the patient from acquiring an infection?
a. Inserting the catheter using strict clean technique
b. Performing hand hygiene before and after providing perineal care
c. Fully inflating the catheter's balloon according to the manufacturer's recommendation
d. Disconnecting and replacing the catheter drainage bag once per shift
ANS: B
Hand hygiene helps prevent infection in patients with a urinary catheter. A catheter should be inserted in the hospital setting using sterile technique. Inflating the balloon fully prevents dislodgement and trauma, not infection. Disconnecting the drainage bag from the catheter creates a break in the system and an open portal of entry and increases risk of infection.
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