A patient diagnosed with prostatic hypertrophy has a suprapubic catheter to manage chronic urinary retention.A urine culture shows a bacterial colony count of less than 100,000 organisms/mL.Which intervention by the nurse is appropriate?
A)Begin sterile saline flushes of the catheter twice daily until a repeat culture is negative.
B)Encourage adequate intake of fluids to maintain clear, yellow urine.
C)Inform patient that antibiotics will be started as soon as requesting health-care provider writes the order.
D)Plan to insert a new suprapubic catheter as soon as possible.

Question

Quizplus · Accepted Answer

A bacterial colony count of less than 100,000 organisms/mL is considered a low level of bacteria and may not require antibiotic treatment. Encouraging adequate fluid intake can help maintain good urine output and clear, yellow urine. Option A is not necessary since the colony count is low and sterile saline flushes may increase the risk of infection. Option C should not be done without an order from the healthcare provider for antibiotics. Option D is not necessary unless there are other complications with the current catheter.

A Patient Diagnosed with Prostatic Hypertrophy Has a Suprapubic Catheter