Respuesta :
Answer:
Option C, maintain a closed urinary catheter system
Explanation:
A Foley catheter is an external urinary device in which a plastic tube is sterilely inserted into the patient's bladder via the urethra to remedy their urinary incontinence. The urine the bladder produces is then collected into a plastic bag attached to the other end of this aforementioned tube, well outside of the patient. It is a closed system that should be kept as sterile as possible because the genitourinary tract is very susceptible to infections by pathogens residing on the skin's surface as well as those that can be introduced from exogenous sources, such as bedding, fecal matter, and the nurse's hands.
A specific infection related to the use of catheters is known by the acronym CAUTI, which stands for catheter-associated urinary tract infection -- the most common healthcare-associated infection (HAI), making up a whopping 75% of UTIs acquired within the hospital setting. Patients are 3-7% more likely to develop a CAUTI each day that their catheter remains within their urethra.
Because of this potential risk for infection, when it comes to planning care related to the patient's Foley catheter, the nurse should prioritize maintaining a closed urinary catheter system, option C.
A close second priority is recording volume and character of the urine, because this can also indicate various pathologies occurring within the patient's genitourinary tract.
When caring for a client with a Foley catheter, nurses should encourage fluid intake, record urine volume and characteristics, and maintain a closed urinary catheter system. Additionally, monitoring hydration levels and adapting care for any physical or neurological challenges are important considerations. All options are correct.
When planning care for a client with a Foley catheter, nurses should include a variety of actions to ensure proper urinary tract function and to prevent complications. The nursing care plan should include:
- Encouraging fluid intake, unless contraindicated, to promote renal function and prevent urinary tract infections (UTIs).
- Recording volume and character of urine, where abnormalities in the volume, color, or presence of blood may indicate an underlying problem that needs attention.
- Maintaining a closed urinary catheter system to reduce the risk of infection by preventing pathogens from entering the system.
In addition to the care related to the Foley catheter, attention should be paid to other aspects of patient wellbeing, such as monitoring hydration levels through the color and frequency of urine, as well as considering the patient's ability to navigate their environment and any physical or neurological challenges they may face in regards to bladder emptying.
Hence, all options are correct.
