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:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.
Correct Answer is C
Explanation
Choice A rationale:
Sleeping on the abdomen could put pressure on the eye and disrupt healing.
Choice B rationale:
White drainage could indicate an infection, which should be reported immediately.
Choice C rationale:
Lifting heavy objects can increase intraocular pressure, potentially damaging the surgical site.
Choice D rationale:
Bending at the waist can also increase intraocular pressure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
