The nurse understands the best way to reduce catheter-associated urinary tract infections (CAUTIs) in long term indwelling catheters is to do what?

Perform catheter care twice a day

Replace the catheter on a routine basis

Administer cranberry tablets three times a day

Administer prophylactic antibiotics twice a day for the duration of the catheter

Answer and Explanation

The Correct Answer is A

A. Perform catheter care twice a day:
Routine perineal care and cleaning of the catheter insertion site are evidence-based practices to reduce CAUTI risk.

B. Replace the catheter on a routine basis:
Routine replacement is done, but not more effective than good hygiene in reducing infection risk. Over-manipulation may increase risk.

C. Administer cranberry tablets three times a day:
Cranberry products have not consistently shown a reduction in CAUTIs in catheterized patients.

D. Administer prophylactic antibiotics twice a day for the duration of the catheter:
This promotes antibiotic resistance and is not recommended unless there is an active infection.

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Correct Answer is D

Explanation

A. Educate the patient about the importance of the medication:
Education is important, but understanding the reason for refusal comes first so that concerns can be addressed specifically.

B. Discreetly hide the medication in the patient’s favorite gelatin:
This violates ethical and legal standards of informed consent and autonomy.

C. Agree with the patient’s decision and document it in the chart:
You should respect the patient's decision, but only after understanding the reason and educating as appropriate.

D. Explore with the patient reasons for not wanting to take the medication:
This therapeutic communication technique helps the nurse understand the patient’s concerns and respond appropriately.

A. Clean injection port. B. Inject prescribed solution. C. Twist needleless syringe into port. D. Remove clamp and allow to drain. E. Clamp catheter just below specimen port. F. Draw up prescribed amount of sterile solution ordered.

Correct Answer is F,E,A,C,B,D

Explanation

A. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.

B. Inject prescribed solution:
Done only after the syringe is connected to the port.

C. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.

D. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.

E. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.

F. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.

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The nurse understands the best way to reduce catheter-associated urinary tract infections (CAUTIs) in long term indwelling catheters is to do what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient refuses medication. Which is the nurse's first action?

Correct Answer is D

Explanation

The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?

Correct Answer is F,E,A,C,B,D

Explanation

The nurse will anticipate inserting a Coudé catheter for which patient?

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