A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)
Promote perineal care that includes wiping the perineum from the front to the back.
Obtain orders from the health care provider to discontinue catheters as soon as possible.
Continue prescribed antibiotics even if the client's symptoms have subsided.
Remind clients to urinate right away when they have an urge and to completely empty their bladder.
Encourage adequate fluid intake every day.
Correct Answer : A,B,C,D,E
Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.
Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.
Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.
Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.
Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is B
Explanation
Choice A reason: A strong odor in the first-voided urine can be normal, especially if it's concentrated after a night's sleep.
Choice B reason: An output of 175 mL in 8 hours is concerning, as it indicates oliguria, which is a urine output of less than 400 mL in 24 hours, and can be a sign of worsening renal function.
Choice C reason: An output of 2,200 mL in 24 hours is within normal urine output ranges, which is typically 800 to 2,000 mL per day for an average adult.
Choice D reason: Urine becoming cloudy after sitting for a period is common due to precipitation of salts and proteins at lower temperatures.
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