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 C
Explanation
A. HIPAA does not specifically allow facility-specific coding of client health information; it mandates strict regulations regarding the privacy and security of patient information.
B. Clients participating in research studies do not forfeit their HIPAA rights; they retain the right to privacy and must be informed about how their information will be used.
C. HIPAA does allow clients to request a review of their medical records, which is a fundamental right under the law, promoting transparency and access to personal health information.
D. While HIPAA does protect client information, the statement incorrectly focuses on providers' photographs rather than client privacy and confidentiality; both are protected under HIPAA regulations.
Correct Answer is C
Explanation
A. A client with a brain tumor and chemotherapy may require more complex assessments and management, making them less suitable for a newly licensed nurse.
B. A client with multiple sclerosis and ataxia may have fluctuating symptoms that require more experienced nursing care.
C. A client who sustained a concussion and is being monitored for complications is stable and can be appropriately assigned to a newly licensed nurse who can learn to monitor for signs of deterioration.
D. A client with Guillain-Barré syndrome and a tracheostomy requires specialized skills and knowledge in airway management, making them inappropriate for a newly licensed nurse.
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