A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

Cleanse the periurethral area with antiseptic cleaning solutions.

Perform routine catheter irrigation every 8 hrs.

Limit indwelling urinary catheter usage to 4 days.

Maintain a closed system, ensuring connections are sealed securely.

Answer and Explanation

The Correct Answer is D

A. While cleansing the periurethral area is important, antiseptic cleaning solutions may not be necessary and could lead to irritation. Standard soap and water are often sufficient.

B. Routine catheter irrigation is not recommended and can increase the risk of infection. Catheters should be managed without unnecessary interventions.

C. Limiting indwelling urinary catheter usage is a good practice, but the protocol should focus on maintaining the catheter system rather than a specific time frame for removal.

D. Maintaining a closed system, ensuring connections are sealed securely, is critical in preventing urinary tract infections (UTIs) as it minimizes the risk of pathogens entering the urinary tract.

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Correct Answer is C

Explanation

A. While a client's religious beliefs can influence their decisions, the refusal of treatment takes precedence, making this an insufficient factor alone.

B. The facility ethics committee can provide guidance but does not have the authority to override a client's autonomy in medical decisions.

C. The client has the right to refuse treatment, but the nurse must ensure that the client fully understands the risks and consequences of refusing surgery. This aligns with the ethical principle of autonomy, which allows individuals to make informed decisions about their healthcare. If the client is competent and understands the risks, their choice must be respected—regardless of their partner’s wishes.

D. A durable power of attorney for health care (DPOA-HC) can only make decisions if the client is incapacitated. If the client is mentally competent and understands the risks, their decision is final—even if their partner has legal authority for healthcare decisions in other circumstances.

A. Do B. Check C. Act D. Plan

Correct Answer is B

Explanation

A. The "Do" component refers to the implementation of the plan, where changes or improvements are put into action, but evaluation does not occur in this phase.

B. The "Check" component involves evaluating the results of the implemented changes to determine their effectiveness, making this the appropriate phase for assessment and analysis of outcomes.

C. The "Act" component involves making adjustments based on the evaluation results, but the actual evaluation itself is part of the "Check" phase.

D. The "Plan" component involves identifying problems and planning interventions but does not include evaluating the effectiveness of those interventions, which is why it is not the correct answer.

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A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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