To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

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.

Choice A rationale

Stasis ulcers do not specifically predispose older adults to pneumonia and urinary infections. These infections have different primary risk factors and are not directly related to the presence of stasis ulcers.

Choice B rationale

The patient's defenses are already engaged with the initial infection, which can weaken the immune response and make the body more susceptible to additional infections, such as hospital-acquired infections (HAIs).

Choice C rationale

While being bedfast can increase the risk of pressure sores and related infections, it is not directly caused by the presence of a stasis ulcer. The patient's mobility status and overall health condition are more relevant factors.

Choice D rationale

The patient does not have a blood-borne infection. The presence of a stasis ulcer indicates a local infection, not a systemic blood-borne infection.