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 A

Explanation

A. Documenting nursing interventions as they are completed ensures accuracy and helps avoid missing critical information. This practice also enhances time management by reducing the likelihood of forgetting details.

B. Skipping breaks can lead to fatigue and reduce productivity over time. It's important to take breaks to maintain focus and energy levels.

C. Completing similar tasks for all clients may seem efficient but can lead to delays in addressing higher-priority needs. Tasks should be prioritized based on client needs.

D. Completing the lowest priority task at the beginning of the shift is inefficient, as higher-priority tasks should be addressed first to ensure timely care and prevent complications.

A. Review the intended purpose of the prescribed medications with the client. B. Call the provider to clarify the client's prescribed medications. C. Consult the pharmacist about the client's prescribed medications. D. Compare the client's medication administration record with the prescriptions on the transfer orders.

Correct Answer is A

Explanation

A. Reviewing the intended purpose of the medications with the client addresses their concerns and helps them understand the rationale behind the prescribed treatment, which is essential in promoting adherence.

B. While it may be necessary to call the provider for clarification, the immediate step is to engage the client in conversation about their medications.

C. Consulting the pharmacist could provide additional information about the medications, but the first action should be to communicate with the client directly.

D. Comparing the medication administration record with the prescriptions is important for accuracy but does not address the client’s immediate concern about the medications.

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