Study Tips

NCLEX® QOTD: CAUTI

Osmosis Team
Published on Jan 3, 2024. Updated on Dec 15, 2023.

Today's NCLEX-RN® question of the day focuses on a nurse who is caring for a patient with a catheter-associated urinary tract infection (CAUTI) as the nurse focuses on alleviating altered comfort. How does the nurse strategically plan to enhance patient comfort and ensure the improvement of CAUTI symptoms through antibiotic treatment in this critical healthcare scenario? Can you figure it out?


The nurse is providing care to a patient diagnosed with a catheter-associated urinary tract infection (CAUTI) and chooses the priority hypothesis of altered comfort. The nurse creates a plan of care and generates the desired outcome: The patient’s symptoms of CAUTI will improve following antibiotic treatment. 

For each patient statement, identify whether it indicates the outcome has been met, not met, or partially met. 



Patient Statement

Met

Not Met

Partially Met

“I haven’t had the chills in two hours. Hopefully, they won’t come back.”



X

“It’s burning around my urethra.”


X


“The smell of my urine is sickening.” 


X


“The soreness in my lower abdomen is gone.”

X



Major Takeaway

The nurse should use clinical judgment to evaluate outcomes related to catheter-associated urinary tract infection (CAUTI).The nurse evaluates the effectiveness of interventions by comparing observed outcomes against expected outcomes. The interventions have been successful and the desired outcome is met if the patient states that their lower abdomen is no longer sore.The outcome has been partially met when they state they have been without fever symptoms, such as chills for a few hours. Burning around the urethra and foul-smelling urine indicate that CAUTI symptoms have not resolved yet and the outcome remains unmet.  

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