A nursing is caring for an elderly client with an indwelling urinary catheter. Which of the following measures is the highest priority for the nurse to take to prevent urinary tract infections (UTIs)?
A) Placing catheter tubing lower than the client's bladder
B) Lightly cleansing the urinary area toward the rectal area
C) Performing bladder training while the catheter is in situ
D) Using lubricant jelly when inserting the catheter
B
Feedback:
When an indwelling catheter is absolutely necessary, the tubing should be placed lower than the client's bladder to prevent any backflow of urine into the bladder. Indwelling catheters should be avoided, because elderly clients have increased susceptibility to UTIs. In women, thorough cleansing should always be done from the urinary area toward the rectal area to prevent organisms in the stool from entering the bladder, but in this case, it is a secondary measure. Bladder training is much more desirable, but it is not undertaken while the catheter is in place. A single-use packet of lubricant jelly should be used for catheter insertion, as it helps to reduce pain, but it is not related to UTI prevention.
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