The nurse is caring for a patient with a history of incontinence and poor perineal hygiene practices. The patient has had four urinary tract infections in the past year
Which is the priority goal for the nursing diagnosis of Ineffective therapeutic regimen management?
a.
The patient will be provided with educational materials about risks of urosepsis.
b.
The patient will allow family members to assist with daily bathing and perineal care.
c.
The patient will clearly state why she refuses to provide adequate care for herself.
d.
Regular home care nursing visits and follow-up telephone contact will be arranged.
ANS: B
The priority for this patient is to improve personal hygiene and perineal care in order to reduce the risk of future urinary tract infections. The patient's agreement to allow family members to assist with bathing and perineal care will greatly reduce this risk. Providing educational materials about the risk of urosepsis and regular follow-up care are interventions rather than patient goals. The patient may not be refusing to adequately care for herself, so this should not be a goal.
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