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Which of the following actions associated with Foley catheterization could cause a potential problem?

A. The bedside drainage bag is attached to the bed frame.
B. Keeping the foreskin retracted after catheterization.
C. Failing to test the balloon by injecting fluid from prefilled sterile water syringe into the balloon port prior to insertion.
D. Cleansing the far labial fold, the near labial fold, and directly over the center of urethral meatus using a new swab with each area

1 Answer

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Final answer:

Using a new swab for each anatomical area during the cleansing process of Foley catheterization is critical to prevent the introduction of bacteria and reduce the risk of urinary tract infections and catheter-related bloodstream infections.

Step-by-step explanation:

One of the actions associated with Foley catheterization that could cause a potential problem is not using a new swab for each area during the cleansing process before catheter insertion. The proper technique involves cleansing the far labial fold, the near labial fold, and directly over the center of urethral meatus, and it is crucial to use a new swab for each of these areas to prevent introducing bacteria into the urinary tract. Bacteria can be introduced to the urinary tract during surgery or catheterization procedures through improper sterilization techniques, contact with non-sterile surfaces, or cross-contamination between different anatomical sites. To minimize the risk of urinary tract infections (UTIs) and even more serious complications such as catheter-related bloodstream infections, strict adherence to aseptic procedure is essential.

The World Health Organization estimates that up to 80,000 catheter-related bloodstream infections occur yearly in the US, leading to around 20,000 deaths. This statistic underscores the importance of proper catheterization techniques and infection control measures. Implementing rigorous aseptic protocols, including the use of separate swabs for cleaning each anatomical area, can significantly reduce the risk of such infections and improve patient outcomes.

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