Author Question: A nursing is caring for an elderly client with an indwelling urinary catheter. Which of the ... (Read 59 times)

Chloeellawright · **on:** Jul 22, 2018

A nursing is caring for an elderly client with an indwelling urinary catheter. Which of the following measures is the highest priority for the nurse to take to prevent urinary tract infections (UTIs)?

A) Placing catheter tubing lower than the client's bladder
B) Lightly cleansing the urinary area toward the rectal area
C) Performing bladder training while the catheter is in situ
D) Using lubricant jelly when inserting the catheter

Question 2

The nurse is caring for a 64-year-old patient who is hospitalized after surgery for a left total knee replacement.

While preparing the patient's personal care items for oral care, the patient states, I have noticed a lot of plaque formation between professional teeth cleanings. Which of the fol-lowing foods would the nurse suggest to help reduce plaque formation? a. Soda
b. Whole grain breads
c. Citrus fruits
d. Processed sugar snacks

1_Step_At_ATime · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
When an indwelling catheter is absolutely necessary, the tubing should be placed lower than the client's bladder to prevent any backflow of urine into the bladder. Indwelling catheters should be avoided, because elderly clients have increased susceptibility to UTIs. In women, thorough cleansing should always be done from the urinary area toward the rectal area to prevent organisms in the stool from entering the bladder, but in this case, it is a secondary measure. Bladder training is much more desirable, but it is not undertaken while the catheter is in place. A single-use packet of lubricant jelly should be used for catheter insertion, as it helps to reduce pain, but it is not related to UTI prevention.

Answer to Question 2

C
Teach a patient that diet influences plaque formation and development of dental caries. Acidic fruits in the patient's diet will reduce plaque formation. To prevent tooth decay, patients some-times need to change eating habits (e.g., reducing intake of carbohydrates, consumption of soda, and especially sweet snacks between meals).