The nurse would question an order to insert a urinary catheter on ...

[Metfan725]

The nurse would question an order to insert a urinary catheter on which patient?
 
  a. A 26-year-old patient with a recent spinal cord injury at T2
  b. A 30-year-old patient requiring drug screening for employment
  c. A 40-year-old patient undergoing bladder repair surgery
  d. An 86-year-old patient requiring monitoring of urinary output for renal failure

Question 2

When caring for a hospitalized patient with a urinary catheter, which nursing action best prevents the patient from acquiring an infection?
 
  a. Inserting the catheter using strict clean technique
  b. Performing hand hygiene before and after providing perineal care
  c. Fully inflating the catheter's balloon according to the manufacturer's recommendation
  d. Disconnecting and replacing the catheter drainage bag once per shift

[Smiles0805]

Answer to Question 1

ANS: B
Urinary catheterization places the patient at increased risk for infection and should be performed only when necessary. Urine can be obtained via clean-catch technique for a drug screening or urinalysis. Spinal cord injury, surgery, and renal failure with critical intake and output monitoring are all appropriate reasons for catheterization.

Answer to Question 2

ANS: B
Hand hygiene helps prevent infection in patients with a urinary catheter. A catheter should be inserted in the hospital setting using sterile technique. Inflating the balloon fully prevents dislodgement and trauma, not infection. Disconnecting the drainage bag from the catheter creates a break in the system and an open portal of entry and increases risk of infection.

[Metfan725]

Thanks for the timely response, appreciate it

[gcook]

TYSM