Implementation
Implementation ( 5 Questions)
A nurse is applying knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Which of the following statements by the nurse reflects this skill?
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Emptying the catheter bag every shift and measuring the output is a routine task that does not require any special skill or knowledge. This statement also does not specify the type of catheter or the reason for its use.
This statement reflects the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Using aseptic technique when inserting or manipulating the catheter is essential to prevent catheter-associated urinary tract infections (CAUTIs), which are a common and costly complication of indwelling catheters. The nurse demonstrates knowledge of infection prevention and control principles, as well as adherence to evidence-based guidelines and local policies for catheter care.
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Removing the catheter as soon as possible to prevent infection is a general goal, but not a specific intervention. The nurse should also consider the indications for catheter use, the type of catheter, and the client's condition and preferences before deciding to remove the catheter. The nurse should follow the appropriate protocol for discontinuing the catheter.
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Monitoring the urine for color, clarity, odor, and sediment is a basic assessment skill that does not require any special knowledge or policy. This statement also does not indicate what actions the nurse would take based on the findings or how they would document them.
Choice A reason:
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Emptying the catheter bag every shift and measuring the output is a routine task that does not require any special skill or knowledge. This statement also does not specify the type of catheter or the reason for its use.
Choice B reason:
This statement reflects the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Using aseptic technique when inserting or manipulating the catheter is essential to prevent catheter-associated urinary tract infections (CAUTIs), which are a common and costly complication of indwelling catheters. The nurse demonstrates knowledge of infection prevention and control principles, as well as adherence to evidence-based guidelines and local policies for catheter care.
Choice C reason:
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Removing the catheter as soon as possible to prevent infection is a general goal, but not a specific intervention. The nurse should also consider the indications for catheter use, the type of catheter, and the client's condition and preferences before deciding to remove the catheter. The nurse should follow the appropriate protocol for discontinuing the catheter.
Choice D reason:
This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Monitoring the urine for color, clarity, odor, and sediment is a basic assessment skill that does not require any special knowledge or policy. This statement also does not indicate what actions the nurse would take based on the findings or how they would document them.