Nurse Vic is monitoring the fluid intake and output of a female client recovering from an exploratory laparotomy. Which nursing intervention would help the client avoid a urinary tract infection (UTI)?
A. Maintaining a closed indwelling urinary catheter system and securing the catheter to the leg.
B. Limiting fluid intake to 1 L/day.
C. Encouraging the client to use a feminine deodorant after bathing.
D. Encouraging the client to douche once a day after removal of the indwelling urinary catheter.
Correct Answer: A. Maintaining a closed indwelling urinary catheter system and securing the catheter to the leg.
Maintaining a closed indwelling urinary catheter system helps prevent introduction of bacteria; securing the catheter to the client’s leg also decreases the risk of infection by helping to prevent urethral trauma.
Option B: To flush bacteria from the urinary tract, the nurse should encourage the client to drink at least 10 glasses of fluid daily, if possible. Encouraged increased oral fluid intake (2 to 3 liters a day if no contraindication). Fluid intake facilitates urine production and flushes bacteria from the urinary tract.
Option C: Encouraged the client to void often every 2 to 3 hours a day and completely empty the bladder. This will prevent bladder distention, facilitate flushing of the bacteria and avoid reinfection. Feminine deodorants may irritate the urinary tract.
Option D: Douching may irritate the urinary tract and should be discouraged. Suggest drinking cranberry juice (four to six 8 ounce glasses per day). Cranberry juice has been shown to reduce adherence of bacteria to the uroepithelial cells in the urinary tract.
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