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You are asked to see a 63-year-old woman who - newboy - Printable Version

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You are asked to see a 63-year-old woman who - newboy - ArchivalUser - 07-16-2006

You are asked to see a 63-year-old woman who is in the hospital after undergoing an operation 4 days ago for a displaced tibia-fibula fracture. The operation was uncomplicated. Preoperative chest x-ray film was normal. She has a transurethral urinary catheter, which was placed during the operation 4 days ago. Today she has a temperature of 37.9°C (100.2°F). Laboratory studies disclose mild leukocytosis. Urinalysis shows greater than 100 WBC/hpf and many bacteria. You suspect that she has a urinary tract infection.

Item 1 of 2

31. Which of the following would have been the most appropriate method of preventing a urinary tract infection in this patient?

A

) Cleaning the perineum twice daily with povidone-iodine

B

) Irrigating the bladder every 8 hours

C

) Removing the catheter immediately post-operation

D

) Treating the patient with prophylactic antibiotics

E

) Using only silver-coated urinary catheters



0 - ArchivalUser - 07-16-2006

c


0 - ArchivalUser - 07-16-2006

C) Removing the catheter immediately post-operation