NCLEX-PN

urinary tract infections (CAUTIs) not only enhances client outcomes but also aligns with regulatory standards. Indications for Catheter Placement

Key indicators for catheter placement include: ●​ Urinary retention (confirmed by bladder scanner) ●​ Extended surgeries ●​ Genitourinary procedures

●​ Presence of sacral wounds ●​ Pelvic or spine trauma ●​ Hemodynamic instability

After catheterization, it is crucial to follow a urinary incontinence bundle to prevent UTIs. This bundle involves routine reviews of catheter necessity, ideally in a multidisciplinary manner, supported by electronic reminders to minimize CAUTIs. Post-Catheter Removal Following catheter removal, clients should ideally urinate within 6 hours . If this does not occur, a bladder scanner can be used to gauge bladder volume. If the volume exceeds 400 mL (or per organizational protocols), nurses should employ methods to encourage urination or, with a clinician's order, use a straight catheter for drainage. Should another 6 hours pass without voiding and bladder volume exceed 400 mL, nurses should consult clinicians for further guidance. Urinary Incontinence Bundle Implementing best practices can effectively prevent catheter-associated UTIs:

●​ Opt for the smallest catheter diameter, if possible, and consider antimicrobial options. ●​ Ensure a securement device is in place to reduce friction at the insertion site. ●​ Maintain a closed system to prevent contamination. ●​ Ensure unobstructed urine flow within the tubing.

●​ Position the drainage bag below the bladder. ●​ Perform daily perineal care at minimum. ●​ Regularly assess the ongoing necessity of the catheter.

By adhering to these guidelines, healthcare providers can ensure the judicious use of urinary catheters, mitigate the risk of infections, and prioritize client safety and well-being.

316

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​