A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Obtain a prescription for an indwelling urinary catheter.
Offer the client the bedpan every 2 hr.
Cleanse the perineum from back to front.
Encourage fluid intake at and between meals.
The Correct Answer is D
Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This statement is incorrect. Impulsive behavior is more commonly associated with right hemispheric CVAs.
Choice B rationale:
This statement is incorrect. A left hemispheric CVA typically results in right-side motor function impairment.
Choice C rationale:
This statement is incorrect. Loss of depth perception is more commonly associated with right hemispheric CVAs.
Choice D rationale:
This statement is correct. Left hemispheric CVAs often result in language and speech impairments, so establishing effective communication would be a key goal in rehabilitation.
Correct Answer is C
Explanation
Choice A rationale:
While it’s important for someone with AIDS to avoid potential sources of infection, food preparation can be done safely with proper precautions.
Choice B rationale:
Disinfecting equipment for 24 hours is not a standard practice. Standard cleaning procedures with appropriate disinfectants are usually sufficient.
Choice C rationale:
Good household cleaning practices can help prevent the spread of infection, which is crucial for someone with AIDS due to their compromised immune system.
Choice D rationale:
Burning soiled dressings is not a recommended practice. Soiled dressings should be disposed of properly in a biohazard waste bag.
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