The nurse is providing indwelling catheter care for a patient who is uncircumcised. What intervention will help prevent a catheter associated urinary tract infection?

Obtain daily urine specimens by opening the collection drainage system.

Keep the urine collection bag below the level of the bladder at all times.

Retract the foreskin to clean the catheter tubing and meatus outward leaving the foreskin retracted.

Change the indwelling catheter at least every one week.

Answer and Explanation

The Correct Answer is B

A. Obtain daily urine specimens by opening the collection drainage system: Opening the drainage system increases the risk of introducing bacteria into the catheter, which can lead to infection.

B. Keep the urine collection bag below the level of the bladder at all times: Keeping the bag below the bladder prevents urine from back flowing into the bladder, which reduces the risk of infection.

C. Retract the foreskin to clean the catheter tubing and meatus outward, leaving the foreskin retracted: While the foreskin should be retracted for cleaning, it must always be returned to its normal position to prevent paraphimosis, a condition where the foreskin becomes trapped and restricts blood flow.

D. Change the indwelling catheter at least every one week: Routine catheter changes are not recommended unless there is an indication such as obstruction or infection. Unnecessary changes increase infection risk.

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Correct Answer is A

Explanation

A. Better Clinical Outcomes: Meaningful Use ensures that healthcare providers adopt EHRs to improve quality, safety, and efficiency in patient care, leading to better treatment decisions and improved outcomes. Increased Transparency and Efficiency: EHRs promote real-time data sharing and streamlined workflows, reducing errors and redundant tests while enhancing communication between providers. Empowered Individuals: Patients have better access to their health records, leading to increased engagement, self-management of conditions, and informed decision-making.

B. More Robust Research Data on Health Systems: While EHR data can be used for research, this is not a direct goal of Meaningful Use. Improve Safety: This is a correct statement, but "Decrease Functionality" contradicts the purpose of Meaningful Use. Decrease Functionality: Meaningful Use aims to enhance, not reduce, the functionality of EHR systems.

C. Improved Population Health Outcomes: This is a correct benefit of Meaningful Use, as data-driven approaches help manage public health issues more effectively. Complicate Care Coordination: This is incorrect because Meaningful Use promotes interoperability, which enhances rather than complicates coordination. Interoperability: While interoperability is a goal of meaningful Use, this option presents a mix of correct and incorrect statements.

D. Improved Population Health Outcomes: This is a correct benefit of Meaningful Use. Increase Health Disparities: This is incorrect because Meaningful Use is designed to reduce disparities by improving access to digital health records and quality care. Engage Patients and Families: This is a correct statement, as patient portals and EHR access encourage active participation in health management. However, the inclusion of "Increase Health Disparities" makes this answer incorrect.

A. Schedule an in person appointment with the provider for the next month. B. Setting up a telehealth visit for the patient. C. Assist the patient in arranging for transportation to and from the appointment D. Ensure that the patient has access to their patient portal

Correct Answer is ["B","D"]

Explanation

A. Schedule an in-person appointment with the provider for the next month: This does not address the challenge of frequent travel or accessibility.

B. Setting up a telehealth visit for the patient: Telehealth reduces travel burdens and allows for frequent monitoring without unnecessary trips.

C. Assist the patient in arranging for transportation to and from the appointment: Assisting the patient in arranging transportation can be beneficial, but telehealth visits offer a more sustainable solution for frequent appointments

D. Ensure that the patient has access to their patient portal: A patient portal allows for easy communication with providers, medication refills, and appointment scheduling.

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
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Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

The nurse is providing indwelling catheter care for a patient who is uncircumcised. What intervention will help prevent a catheter associated urinary tract infection?

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Naxlex Comprehensive Predictor Exams

What are three positive results of meaningful use compliance in the Electronic Health Record?

Correct Answer is A

Explanation

A patient lives in a rural area and requires frequent appointments related to their health condition. Which of the following interventions should the nurse facilitate?

Correct Answer is ["B","D"]

Explanation

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