A nurse is caring for a client in the medical-surgical unit.
Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client?
Select all that apply.
Use soap and water to provide perineal care.
Change the indwelling urinary catheter tubing every 3 days
Encourage the client to drink 3000 ml of fluid daily.
Review the need for the indwelling urinary catheter daily
Place the drainage beg on the bed when transporting the client
Correct Answer : A,D,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Informed consent means the client has the right to refuse treatment even after giving initial consent. The nurse should respect the client's autonomy and decision.
B. Incorrect. This statement does not respect the client's right to make decisions about her treatment.
C. Incorrect. While this statement might be true for some individuals, it does not address the client's current hesitation and does not respect her autonomy.
D. Incorrect. This statement does not address the client's expressed hesitation about the treatment.
Correct Answer is ["B","C","E"]
Explanation
A. Administer oxytocin. (This is unanticipated as the client is experiencing contractions, and oxytocin might not be needed at this point.)
D. Limit fluid intake to 3,000 mL/day. (Fluid restriction might not be necessary based on the provided notes.)
F. Place the client in the supine position. (The supine position is generally avoided during pregnancy due to potential compression of the vena cava.)
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