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.
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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Related Questions
Correct Answer is B
Explanation
A. Informing the client that a catheter will be inserted is not appropriate; a catheter should only be used if necessary and with the client’s consent.
B. Documenting the client's refusal is crucial for legal and ethical reasons, ensuring that the healthcare team is aware of the client’s decision regarding the urine sample.
C. Telling the client that their blood alcohol level will be checked does not address their refusal and may lead to confusion or further resistance.
D. Assessing for urinary incontinence does not address the situation regarding the urine sample and is not directly relevant to the client's refusal to provide a sample.
Correct Answer is ["A","B","C"]
Explanation
A. Respite care offers temporary relief for the partner, allowing them to take breaks while knowing their loved one is cared for, thus reducing stress and preventing caregiver burnout.
B. Hospice care is essential for providing comprehensive support for terminally ill clients, including pain management, emotional support, and assistance with end-of-life care, which would be critical for the client returning home.
C. Social worker can assist the client and their partner in addressing financial concerns, accessing community resources, and providing emotional support, ensuring a smoother transition to home care.
D. Adult day care is not a primary resource for the client's immediate needs related to terminal care and support for their partner.
E. Legal assistance is not a primary resource for the client's immediate needs related to terminal care and support for their partner.
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