Which nursing intervention decreases the risk for CAUTI (Catheter-Associated Urinary Tract Infections)?

Irrigating the urinary catheter with sterile water.

Hanging the urinary drainage bag below the level of the bladder.

Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution

Emptying the urinary drainage bag daily

Answer and Explanation

The Correct Answer is B

A. Irrigating the urinary catheter with sterile water: Not routine; only done if there is obstruction or as prescribed. Frequent irrigation increases infection risk by introducing bacteria.

B. Hanging the urinary drainage bag below the level of the bladder: Prevents backflow of urine, reducing CAUTI risk. Never let the bag touch the floor.

C. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution: Unnecessary and can irritate the urethra. Routine perineal care with soap and water is enough.

D. Emptying the urinary drainage bag daily: Should be emptied at least every 8 hours or when half full, not just daily. Reduces bacterial growth and backflow.

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Correct Answer is ["A","B","C"]

Explanation

A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.

B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.

C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.

D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.

E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).

A. Urine output of 80 mL/hr B. Specific gravity of 1.036 C. pH of 6.4 D. Protein level of 2 mg/100 mL

Correct Answer is B

Explanation

A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.

B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.

C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.

D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.

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Which nursing intervention decreases the risk for CAUTI (Catheter-Associated Urinary Tract Infections)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

Correct Answer is B

Explanation

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