Author Question: An older female client with a history of urinary tract infections has an indwelling urinary ... (Read 92 times)

karateprodigy · **on:** Jul 23, 2018

An older female client with a history of urinary tract infections has an indwelling urinary catheter. What should the nurse do to reduce this client's risk of developing an infection because of the catheter?

1. Maintain a sterile closed drainage system.
2. Clean the peri-urethral area with antiseptics.
3. Ensure the catheter and tubing are not kinked.
4. Wash his or her hands before manipulating the catheter.
5. Keep the collection bag below the level of the bladder.

Question 2

A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr. After an 8-hour shift the nurse measures the client's output as being 1425 mL.

What is the client's urine output for the 8-hour shift?
What will be an ideal response?

makaylafy · **Reply #1 on:** Jul 23, 2018

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.