A client has an indwelling urinary catheter after surgery. W… | MyMerci
Emergency Response PlanSIPC
Question
A client has an indwelling urinary catheter after surgery. Which nursing action helps reduce catheter-associated urinary tract infection risk?
1Disconnect the drainage tubing every shift to empty retained urine.
2Keep the drainage bag below bladder level and remove the catheter as soon as clinically appropriate.✓ Correct answer
3Place the drainage bag on the bed to prevent pulling.
4Irrigate the catheter every hour without a prescription.
Explanation
CAUTI prevention includes maintaining a closed system, keeping the bag below bladder level, preventing dependent loops, and removing the catheter promptly when no longer indicated. Disconnecting tubing and placing the bag on the bed increase contamination or backflow risk.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits CAUTI prevention.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For CAUTI prevention, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Indwelling Urinary Catheter — A catheter left in the bladder to drain urine continuously.