When caring for a client with an indwelling urinary catheter, the nurse plans care to include what interventions to reduce the risk of infection? Select all that apply. Standard Text: Select all that apply
1. 3,000 mL of fluid intake
2. Encourage foods such as eggs, meat, and poultry.
3. Clean the perineum with soap and water every morning.
4. Routinely replace the catheter every three days.
5. Maintain the drainage bag at the level of the bladder.
1,2
Rationale: The nurse will encourage fluids to increase urine output, avoid urinary stasis, and keep the bladder flushed to avoid infection. Foods such as eggs, meat, poultry, cranberries, plums, and tomatoes acidify the urine and reduce the risk of infection. The perineum should be cleaned with soap and water twice a day, routine catheter replacement is not recommended, and the drainage bag should be below the level of the bladder.
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A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days. Which nursing diagnosis has priority?
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