NCLEX-RN

Category - Reduction of Risk

A client with neurogenic bladder was inserted with a urinary catheter to aid in urination. The nurse is careful to prevent infection in this client. Which of the following actions by the nurse may increase the client’s risk for infection?
  1. Vigorous urethral cleaning
  2. Increasing oral fluids intake
  3. Anchoring the catheter securely
  4. Using silicone-made catheters
Explanation
Answer: A - The nurse should avoid vigorous urethral cleaning as it allows the movement of the catheter in all directions, increasing the risk of infection. Increasing oral fluid intake dilutes the urine, prevents stone formation, and washes away microorganisms that may have accumulated in the bladder. It also helps in keeping the urine acidic. Anchoring the catheter securely on the thigh or abdomen ensures that no further trauma to the urethral lining is done. Silicone-made catheters have lesser chances of encrustation.
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