A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
"Disconnect the drainage tube if the catheter requires irrigation."
"Keep the collection bag below bladder level."
"Use a size 20 French catheter for catheterization."
"Allow the drainage bag to fill completely before emptying
The Correct Answer is B
A. Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B. Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C. Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D. Allowing the drainage bag to overfill increases the risk of backflow and infection.
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Correct Answer is B
Explanation
A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.
Correct Answer is C
Explanation
A. Sterile gloves are not necessary for collecting sputum specimens. Clean gloves are typically sufficient.
B. Sputum specimens should be collected in a sterile container to prevent contamination.
C. Early morning specimens are preferred due to increased sputum production from the overnight accumulation of secretions.
D. Mouthwash may contain substances that interfere with sputum culture results, so specimens should be collected before mouthwash use.
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