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

Explanation

A. "Take the medication with a full glass of water." Docusate is a stool softener that works best when taken with plenty of fluids.

B. "Expect abdominal pain with this medication." Docusate should not cause abdominal pain; if it does, it should be discontinued.

C. "Take this medication on an empty stomach." Docusate can be taken with or without food.

D. "Do not take this medication before bedtime." It is often recommended before bedtime to work overnight.

A. Urine output of 175 mL in the past 8 hr B. Urine is cloudy after sitting in the urinal for 6 hr C. First-voided urine in the morning has a strong odor D. Urine output of 2,200 mL in the past 24 hr

Correct Answer is A

Explanation

A. Urine output of 175 mL in the past 8 hours. Urine output <30 mL/hr (less than 240 mL in 8 hours) indicates oliguria, a sign of worsening renal function or acute kidney injury (AKI).

B. Urine is cloudy after sitting in the urinal for 6 hours. Urine naturally becomes cloudy when it sits due to precipitation of solutes.

C. First-voided urine in the morning has a strong odor. Morning urine is more concentrated, causing a strong odor.

D. Urine output of 2,200 mL in the past 24 hours. Not necessarily concerning unless the client has polyuria (>3L/day), which can indicate diabetes or diuretic effects, but 2,200 mL is still within the normal range.

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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 is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is A

Explanation

A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?

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

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