Answer to Question 1
Correct Answer: 1, 3, 4, 5
Rationale 1: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should maintain a sterile closed drainage system.
Rationale 2: Cleaning the peri-urethral area with antiseptics is an action that should be avoided.
Rationale 3: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should maintain unobstructed urine flow by making sure the catheter and tubing are not kinked.
Rationale 4: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should wash his or her hands before any manipulation of the catheter or collection system.
Rationale 5: To prevent a urinary tract infection in the presence of an indwelling urinary catheter, the nurse should keep the collection bag below the level of the bladder at all times.
Answer to Question 2
Correct Answer: 625 mL
Rationale: The client is to receive 800 mL of bladder irrigant for the 8-hour shift. The nurse needs to subtract the bladder irrigant total from the total output, or 1425 800 = 625 mL. This is the client's urine output for the 8-hour shift.
Female (doe)
A nurse adjusts the rate of a client’s IV.
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