The nurse knows that urinary tract infection (UTI) is the most ...

[kfurse]

The nurse knows that urinary tract infection (UTI) is the most common health careassociated infection because
 
  a. Catheterization procedures are performed more frequently than indicated.
  b. Escherichia coli pathogens are transmitted during surgical or catheterization procedures.
  c. Perineal care is often neglected by nursing staff.
  d. Bedpans and urinals are not stored properly and transmit infection.

Question 2

To create a new nutritional plan of care for a patient, the nurse needs to do which of the follow-ing? (Select all that apply.)
 
  a. Utilize the characteristics of a normal nu-tritional status.
  b. Evaluate previous patient responses to nursing interventions.
  c. Exclude established expected outcomes to evaluate patient responses.
  d. Design innovative interventions to meet the patient's needs.
  e. Follow through with evaluation and counseling.

[braelync]

Answer to Question 1

ANS: B
E. coli is the leading pathogen causing UTIs; this pathogen enters during procedures. Sterile technique is imperative to prevent the spread of infection. Frequent catheterizations can place a patient at high risk for UTI; however, infection is caused by bacteria, not by the procedure itself. Perineal care is important, and buildup of bacteria can lead to infection, but this is not the greatest cause. Bedpans and urinals may become bacteria ridden and should be cleaned frequently. Bedpans and urinals are not inserted into the urinary tract, so they are unlikely to be the primary cause of UTI.

Answer to Question 2

ANS: A, B, D, E
To create a new nutritional plan of care, the nurse must utilize characteristics of a normal nutri-tional status to gauge effectiveness of the plan. The nurse must be aware of previous patient re-sponses to nursing interventions for altered nutrition to determine the probability of success. The nurse must use established expected outcomes to evaluate the patient's response to care (e.g., pa-tient's weight increases by 0.5 kg/week). The nurse must also be creative when designing innova-tive nursing interventions to meet the patient's nutritional needs and must demonstrate responsi-bility by following through with evaluation and counseling to successfully reach goals.