Urinary tract infections associated with indwelling catheters are a major component of hospital-associated infections. What must nurses do to help decrease the incidence of these infections in their clients? (SELECT ALL THAT APPLY)
Maintain clean technique during catheter insertion.
Advocate for removal of indwelling catheters as soon as possible.
Use interventions that help clients to avoid initial catheterization.
Ensure fluid intake within client limitations.
Maintain urine collection bag at the level of the bladder.
Correct Answer : A,B,C,D
Choice A rationale
Maintaining a clean technique during catheter insertion reduces the risk of introducing pathogens into the urinary tract. This helps prevent urinary tract infections (UTIs) by minimizing contamination.
Choice B rationale
Advocating for the removal of indwelling catheters as soon as possible is crucial because prolonged catheterization increases the risk of UTIs. Removing the catheter when it is no longer needed reduces exposure to potential infections.
Choice C rationale
Using interventions that help clients avoid initial catheterization decreases the likelihood of introducing pathogens into the urinary tract. Alternatives to catheterization, such as bladder training and intermittent catheterization, can reduce infection risk.
Choice D rationale
Ensuring fluid intake within client limitations helps maintain hydration and urine flow. Adequate fluid intake helps flush out bacteria from the urinary tract, reducing the risk of UTIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract from mouth to anus. Surgery cannot cure the disease because inflammation and symptoms can recur in other parts of the digestive system, even after the diseased portion is removed.
Choice B rationale
While colonoscopic procedures can help manage and monitor Crohn's disease, they do not cure it. The disease's chronic nature means that continuous treatment and monitoring are necessary.
Choice C rationale
Surgery can help manage severe cases of Crohn's disease and remove affected portions, but it does not cure the disease. There are risks and complications associated with surgery, and the disease can recur in other areas of the gastrointestinal tract.
Choice D rationale
This statement is inaccurate because it suggests a potential cure through surgery, which is misleading. The chronic and recurrent nature of Crohn's disease means that even after surgical intervention, ongoing management and treatment are required.
Correct Answer is B
Explanation
Choice A rationale
Excess fluid volume: intravascular is less relevant as it is more associated with conditions such as heart failure rather than bowel obstruction. Fluid shifts in bowel obstruction usually lead to third-spacing rather than intravascular volume excess.
Choice B rationale
Risk for ineffective tissue perfusion: gastrointestinal is correct as bowel obstruction can compromise blood flow to the intestines, leading to ischemia and necrosis. This is a critical concern that needs to be monitored and managed promptly.
Choice C rationale
Risk for infection is a valid concern but not the primary issue compared to tissue perfusion risks. Infection risk typically becomes more prominent if there are signs of bowel perforation or necrosis.
Choice D rationale
Acute pain assessment is important but is an aspect of managing the current problem rather than listing the primary problem itself. Pain management should follow once the main problem has been identified.
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