Medical Surgical UTI & Pyelonephritis #13

Question

A nurse is part of the infection control team on the unit and the goal is to reduce the number of hospital-acquired urinary tract infections (UTIs). Part of the staff instruction will include handwashing and which other contributors to UTI development? Select all that apply.

Answers

  1. Medication errors.
    • Rationale:

      This answer is not correct because medication errors do not relate to hospital-acquired urinary infections. One example of an HAI is catheter-associated urinary tract infections (CAUTI).

  2. Poor nutritional follow-through.
    • Rationale:

      This answer is not correct because although nutrition is important, it is not the reason for hospital acquired UTI. One example of an HAI is catheter-associated urinary tract infections (CAUTI).

  3. Improper and inconsistent catheter care.
    • Rationale:

      This answer is correct because improper and inconsistent catheter care may contribute to hospital acquired urinary tract infections. Proper care of a catheter is pertinent to preventing infections, especially UTIs.

  4. Poor perineum hygiene for clients with and without indwelling catheters.
    • Rationale:

      Poor perineum hygiene after bowel movements with clients who have indwelling catheters and those that do not have catheters increases the rates of hospital-acquired urinary infections. Always teach the client to wipe front to back when performing perineal care.

  5. Monitor catheters frequently for kinks.
    • Rationale:

      This answer is correct because monitoring catheters more frequently will ensure there are no kinks in tubing so that the urine can flow unobstructed into the drainage bag. Emptying the bag regularly and keeping the bag below bladder level will prevent backflow of contaminated urine.

Overview

Healthcare-associated infections (HAIs) are infections that clients get while they are receiving health care for another condition. One example of an HAI is catheter-associated urinary tract infections (CAUTI).

Explanation

Learning Outcomes

One example of an HAI is catheter-associated urinary tract infections (CAUTI). Attention must be given to the prevention of UTIs and CAUTIs in the hospital environment. It is essential that all client care personnel implement evidence-based interventions to decrease the risk for CAUTIs, including: Using catheters only when necessary (i.e.e, not for convenience) Keeping the system closed and if changed, using aseptic technique and sterile equipment Maintaining unobstructed flow Emptying the collection bag using a separate container for each client and keeping container clean Using standard precautions at all times Cleansing the meatal area daily or more frequently according to policy Supervising all non-licensed personnel to ensure care is completed appropriately Therefore, in addition to appropriate hand hygiene it is essential to include education regarding the importance of avoiding improper and inconsistent catheter use and poor perineum hygiene for clients with or with indwelling catheters.

Test Taking Tip

When answering select all the apply (SATA) questions, consider each choice as true or false regarding the specific topic.

Video Rationale