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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.
B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).
C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.
D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.
Correct Answer is D
Explanation
A. "These help to get rid of clots that are in your legs that can cause problems." Pneumatic compression devices prevent clots; they do not treat existing ones.
B. "These help circulate air and provide compression to your legs." While compression is correct, the reference to circulating air is misleading, as the device improves blood circulation, not air movement.
C. "These will help you to perform passive range of motion to your legs." Pneumatic compression devices do not move the legs; they promote circulation through intermittent pressure.
D. "These will help to reduce the risk of developing a venous thrombus." Pneumatic compression devices improve venous circulation and prevent deep vein thrombosis (DVT), making this the most accurate response.
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