13. Following perineal surgery, a client is at risk for a wound infection related to incontinence. The correct management of this problem is to:
13. Following perineal surgery, a client is at risk for a wound infection related to incontinence. The correct management of this problem is to:
. Insert a continuous indwelling catheter per order.
. Assist to the toilet and protect the skin with cream.
. Limit oral fluid intake.
. Give a loop diuretic, such as furosemide, as ordered.
Test-Taking Tip
The question is asking for a way to prevent wound contamination by urine. Although a catheter increases the risk of urinary tract infections, it is the only option that fully protects the wound.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
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Answer 1 is correct because an indwelling catheter diverts urine away from the operative site, reducing risk of wound infection. Answer 2 is incorrect because, with a fresh postoperative wound, urine needs to be diverted from the area. Answer 3 is incorrect because fluid intake should match the needs of the body. It is not appropriate to restrict fluids to reduce the risk of incontinence. Answer 4 is incorrect because diuretics facilitate removal of excess fluid from the body. They are not used to manage incontinence.