The nurse is caring for a patient who has a urinary catheter inserted. Which of the following instructions should the nurse provide to help prevent development of a urinary tract infection? (Select all that apply.)
a. Limit fluid intake to decrease the flow of urine.
b. Wash the perineum with an antibacterial soap every 8 hours.
c. Keep the catheter securely taped to prevent catheter movement.
d. Use aseptic technique when emptying the drainage bag.
e. Position the tubing to allow free flow of the urine.
f. Empty the urinary bag every 4 hours to prevent stagnation of urine.
ANS: C, D, E
Maintain a closed system. Keep the catheter securely taped or fastened to the leg. Encourage fluids. Use aseptic technique when emptying the drainage bag. Wash the perineum daily and prn. Keep tubing positioned to allow free flow of urine. Do not clamp catheter. Remove indwelling catheters as soon as possible.
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