A nurse who provides care in a long-term care facility is aware of the high incidence and prevalence of urinary tract infections among older adults. What action has the greatest potential to prevent UTIs in this population?
A) Administer prophylactic antibiotics as ordered.
B) Limit the use of indwelling urinary catheters.
C) Encourage frequent mobility and repositioning.
D) Toilet residents who are immobile on a scheduled basis.
Ans: B
Feedback:
When indwelling catheters are used, the risk of UTI increases dramatically. Limiting their use significantly reduces an older adult's risk of developing a UTI. Regular toileting promotes continence, but has only an indirect effect on the risk of UTIs. Prophylactic antibiotics are not normally administered. Mobility does not have a direct effect on UTI risk.
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