Author Question: A patient with an indwelling urinary catheter is exhibiting signs of asymptomatic bacteriuria. What ... (Read 98 times)

neverstopbelieb · **on:** Jun 25, 2018

A patient with an indwelling urinary catheter is exhibiting signs of asymptomatic bacteriuria. What would be the best course of action for this patient?

1. removing the catheter and beginning antibiotic therapy
2. beginning intravenous antibiotic therapy
3. beginning 3-day course of oral antibiotic therapy
4. removing the catheter and monitoring for continued signs of bacteriuria

Question 2

A male patient is admitted for removal of a bladder papilloma. What should the nurse assess in this patient?

1. history of cigarette smoking
2. daily fluid intake
3. pedal pulses
4. appetite level

anyusername12131 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The preferred treatment for catheter-associated urinary tract infections (UTIs) is to remove the indwelling catheter, then administer a 10- to 14-day course of oral antibiotic therapy to eliminate the infection. Removing the catheter without initiating antibiotic therapy would not solve the problem. The infection could worsen.

Answer to Question 2

Correct Answer: 1
Carcinogenic breakdown products of certain chemicals and from cigarette smoke are excreted in the urine and stored in the bladder, which possibly causes a local influence on abnormal cell development. Cigarette smoking is the primary risk factor for bladder cancer. The risk in smokers is twice that of nonsmokers. Daily fluid intake, pedal pulses, and appetite are all important assessments but are not related to an increased risk for bladder papilloma.