To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:
Request a Foley catheter to be inserted.
Offer a urinal every 2 hours.
Encourage fluid intake to keep urine dilute.
Encourage intake of apple juice to keep urine acidic.
The Correct Answer is C
Choice A rationale
Requesting a Foley catheter for an older adult patient increases the risk of catheter-associated urinary tract infections (CAUTIs). Avoiding unnecessary catheterization is a better approach to prevent infections.
Choice B rationale
Offering a urinal every 2 hours may not significantly reduce the risk of urinary infections. While it encourages regular voiding, it does not address the need to keep urine dilute to prevent infections.
Choice C rationale
Encouraging fluid intake helps keep urine dilute, which reduces the risk of urinary tract infections. Adequate hydration flushes out bacteria and helps maintain a healthy urinary system.
Choice D rationale
While apple juice can help acidify urine, it is not the primary strategy for preventing urinary infections. Maintaining overall hydration with water is more effective in keeping the urine dilute and reducing infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Enterococcus species are not typically associated with extended-spectrum beta-lactamase (ESBL) production. These bacteria are more commonly known for their resistance to other classes of antibiotics, like vancomycin.
Choice B rationale
Escherichia coli (E. coli) is a common bacterium that can produce extended-spectrum beta-lactamases (ESBLs), which confer resistance to a wide range of beta-lactam antibiotics, including penicillins and cephalosporins.
Choice C rationale
Staphylococcus aureus is not part of the ESBL-producing group. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA) and is resistant to beta-lactam antibiotics through different mechanisms.
Choice D rationale
Clostridium difficile is not associated with ESBL production. It causes infections through the release of toxins that lead to severe gastrointestinal symptoms, rather than through beta-lactamase production.
Correct Answer is D
Explanation
Choice A rationale
A 45-year-old in traction for a fractured femur is at risk for infection due to immobility and potential surgical wounds, but not as high as someone with a Foley catheter.
Choice B rationale
A 56-year-old with pneumonia receiving oxygen is at risk for respiratory infections, but the presence of a Foley catheter significantly increases the risk of healthcare-associated infections.
Choice C rationale
A 70-year-old with congestive heart failure attached to a monitor has a risk of infection due to potential breaks in skin integrity, but not as high as someone with a Foley catheter.
Choice D rationale
A 65-year-old with a Foley catheter is at the highest risk for health care-associated infections because the catheter provides a direct pathway for pathogens into the urinary tract, increasing infection risk.
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