A nurse is caring for a hospitalized patient with a urinary catheter. Which nursing action best prevents the patient from acquiring an infection?
a. Maintaining a closed urinary drainage system
b. Inserting the catheter using strict clean technique
c. Disconnecting and replacing the catheter drainage bag once per shift
d. Fully inflating the catheter's balloon according to the manufacturer's recommendation
ANS: A
A key intervention to prevent infection is maintaining a closed urinary drainage system. A catheter should be inserted in the hospital setting using sterile technique. Inflating the balloon fully prevents dislodgment 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.
You might also like to view...
The nurse is caring for an older school-age client who is sleeping when the menu choices for dinner are brought to the room. Which intervention should the nurse use to meet the dietary needs of this client?
A) Wake the child to choose a meal for dinner. B) Order chicken nuggets because most children like this meal. C) Ask the dietary worker to come back later. D) Ask the parents to bring dinner from home for the client.
The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse?
A) An informatics nurse extrapolates data to develop a best practice model for indwelling catheter care. B) The novice nurse uses a spreadsheet to document medication reactions. C) An experienced staff nurse creates databases. D) A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
The nurse recognizes that health and wellness are better among the educated older adult population because they tend to
a. place a high value on health and wellness. b. frequently take advantage of health screening options. c. have occupations that are less physically demanding. d. manage emotional stress in a more pro-ductive manner.
The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days postoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage
The patient reports tenderness at the incision site. The patient's temperature is 100.5° F and the WBC is 10,500/mm3. Which nursing action should the nurse take? a. Plan to change the surgical dressing during the shift. b. Check to see what solution was used for skin preparation in surgery. c. Collect supplies to culture the surgical incision. d. Utilize SBAR to call and communicate the patient's needs to the physician.