1. An all-too-common resistant organism seen in catheterized patients is:
a. Mycoplasma pneumoniae
b. Streptococci sp.
c. Vancomycin resistant enterococus sp.
d. Candida albicans
2. Catheter-associated urinary tract infections account for approximately what persentage of overall nosicomial infections in acute and long-term care facilities?
a. 100%
b. 70%
c. 35% - 40%
d. 20%
3. The additional cost associated with the development of a catheter-associated urinary tract infection may range from
a. $500 - $750
b. $1200 - $1500
c. $150 - $380
d. $680 - $3800
4. Which is a risk factor in the development of a catheter-associated urinary tract infection?
a. Female Patient
b. Duration of Catheterization
c. Microbial colonization of the drainage bag
d. All of the above.
5. The most common cause for catheter-associated infection is
a. Inadequate hydration
b. Skin breakdown in the perineal area
c. Bacterial entry via the indwelling catheter system
d. Resistant organisms in the kidneys
6. Bacteria can gain access to the bladder by
a. Adhering to the inner and outer surface of the catheter
b. Entry from the Sample Port
c. Old prepping components
d. Bladder Contractions
7. With a catheter system, which area is NOT a point of risk for the entry of bacteria?
a. The outlet tube of the drainage bag"
b. The air vent
c. The catheter-tubing junction
d. The catheter-urethral surface
8. Which of the following is TRUE regarding antibiotic resistant organisms?
a. Antibiotic resistant organisms have NOT been associated with urinary tract infections"
b. Infections due to antibiotic resistant organisms have DECREASED in reacent years
c. Urinary drain bags of infected patients are potential reservoirs or resistant organisms
d. Infections due to antibiotic resistant organisms are less costly to treat
9. The indwelling catheter compromises the urethra's ability to act as a defense because?
a. Bladder contractions are stimulated"
b. The bladder wall is damaged
c. The renal ureters are dilated
d. The flushing action of urination is eliminated
10. Which of the following is TRUE regarding catheter use and care?
a. It is not necessary to use sterile technique for insertion"
b. Daily cleansing with povidone-iodine is recommended
c. With prolonged use, virtually all patients aquired bacteria in their urine
d. The risk of catheter-associated infection is 25% for each day of catheterization
11. New technology to prevent catheter-associated UTIs has focused on
a. Antibiotic additives to the drainage bag"
b. Antiseptic coating on the inner and outer catheter surfaces
c. Easy-opening catheter-tubing junction
d. Time released ointments at the meatus site
12. Research on the silver coating on the catheter surface suggests it is effective becaure the silver:
a. Increases the amount of macrophages"
b. Releases antibiotics with activity against gram positives
c. Reduces the bacterial adherence to the catheter surface
d. Causes an electric stimulation against the organisms
13. For which patients is the use of an indwelling catheter NOT recommended?
a. Patients requiring relief of bladder outlet obstruction"
b. Acutely ill or postoperative patients
c. Patients engaged in a bladder training program
d. Male patients undergoing urlogic or prostate surgery
14. Which action by the nurse is effective in preventing catheter-associated UTIs?
a. Using 5cc of sterile water to inflate a 5cc catheter balloon"
b. Handwashing only after inserting the catheter
c. Use "Clean-to-dirty" approach when inserting a catheter
d. Use the smallest French size that achieves proper drainage
15. Which action by the nurse is NOT effective in preventing catheter-associated UTIs?
a. Hang the drainage bag below the level of the bladder"
b. Use a separate container for emptying urine from the bag
c. Obtain urine specimens from the catheter-tubing junction
d. Ensure unobstructed urine flow
Please Click "Finished" to check your answers
Print the Result Page to receive your CE credit.
You may call Jesse McDonald, CCRN at 951-486-4823 to discuss any questions
