A nurse is teaching an in-service about the safe use of equipment to a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?

Rationale:
A. Limiting catheter usage to 4 days is too rigid and not evidence-based. Catheters should be removed as soon as medically indicated, not automatically on a set day. Unnecessary catheterization is a risk factor for infection, so the focus is on minimizing use, not adhering to a fixed timeline.

B. Routine catheter irrigation is not recommended for infection prevention in clients with indwelling catheters. Irrigation can introduce pathogens and disrupt the closed system, increasing UTI risk.

C. Maintaining a closed urinary drainage system with securely sealed connections is a key evidence-based intervention to prevent catheter-associated urinary tract infections (CAUTIs). A closed system reduces the risk of contamination and prevents bacteria from entering the bladder.

D. Cleansing the periurethral area with antiseptic solutions is unnecessary for routine care. Routine hygiene with soap and water is sufficient; antiseptic cleaning has not been shown to reduce CAUTI rates and may cause irritation.

Rationale:
A. The nurse should recognize that informed consent must be voluntary and based on understanding. If the client expresses doubt or uncertainty, the nurse should ensure the client knows they have the right to withdraw consent at any time, even after signing the form. This response supports the client’s autonomy and is consistent with ethical and legal standards in healthcare.

B. Providing resources can help inform the client but does not address the immediate concern that the client is unsure. The priority is to acknowledge their uncertainty and involve the provider in re-discussing options if needed.

C. Telling the client they should not have signed the consent form is judgmental and dismissive, which may increase anxiety and undermine trust. It does not support client autonomy or informed decision-making.

D. Requesting medication to help the client relax addresses anxiety but does not resolve the underlying issue of informed consent. Sedation cannot substitute for informed, voluntary consent and may be ethically and legally inappropriate.