Which is a nursing care objective for patients with urinary catheters?

• A. Increase urine production
• B. Prevent urinary tract infection
• C. Promote patient mobility
• D. Maintain skin integrity

Answer: (B)

Preventing infection is the primary aim when caring for patients with urinary catheters because an indwelling catheter creates a direct route for bacteria to enter the urinary tract, significantly increasing the risk of infection. Nursing care focuses on maintaining a closed, sterile drainage system, keeping the catheter patent and secure, and preventing contamination or backflow. Key actions include meticulous perineal hygiene, maintaining the drainage bag below the level of the bladder and the catheter, avoiding kinks or dependent loops in the tubing, and using sterile technique for any manipulation of the system. Regular reassessment of the need for the catheter and removal as soon as it's medically appropriate are essential to minimize infection risk. While promoting mobility and protecting skin are important, the specific most critical objective of catheter care is preventing infection.