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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Radial:
The radial pulse is peripheral and may not be palpable during cardiac arrest due to low perfusion.
B. Apical:
The apical pulse requires a stethoscope and time to auscultate, which is not ideal during emergencies.
C. Carotid:
This is the most accessible and reliable central pulse during cardiac arrest and should be used to check circulation in unresponsive adults.
D. Brachial:
Used for infants and young children, not typically reliable for adults during cardiac arrest.
Correct Answer is B
Explanation
A. Measure the patient's urinary output:
Measuring output is important but not the priority. First, the nurse must ensure that urine can drain freely.
B. Ensure that the catheter tubing is not kinked:
This is the priority. A kinked catheter can cause bladder distention and discomfort, leading to a sensation of urgency despite the catheter being in place.
C. Provide perineal care to the patient for comfort:
Comfort is important, but it does not address the potential cause of the urinary sensation.
D. Reassure the patient that the sensation is to be expected:
Sensation may be expected in some patients, but it’s essential to rule out mechanical obstruction first.
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