<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 26-year-old woman presents to the emergency department for shortness of breath. She was walking up a single flight of stairs when she suddenly felt short of breath. She was unable to resolve her symptoms with use of her albuterol inhaler and called emergency medical services. The patient has a past medical history of asthma, constipation, irritable bowel syndrome, and anxiety. Her current medications include albuterol, fluticasone, loratadine, and sodium docusate. Her temperature is 99.5F 37.5C, blood pressure is 11065 mmHg, pulse is 100min, respirations are 24min, and oxygen saturation is 85 on room air. On physical exam the patient demonstrates poor air movement and an absence of wheezing. The patient is started on an albuterol nebulizer. During treatment, the patients saturation drops to 72 and she is intubated. The patient is started on systemic steroids. A Foley catheter and an orogastric tube are inserted, and the patient is transferred to the MICU. The patient is in the MICU for the next seven days. Laboratory values are ordered as seen below.Hemoglobin: 11 gdLHematocrit: 33Leukocyte count: 9,500 cellsmm3 with normal differentialPlatelet count: 225,000mm3Serum:Na: 140 mEqLCl-: 102 mEqLK: 4.0 mEqLHCO3-: 24 mEqLBUN: 21 mgdLGlucose: 129 mgdLCreatinine: 1.2 mgdLCa2: 10.1 mgdLAST: 22 ULALT: 19 ULUrine:Color: amberNitrites: positiveLeukocytes: positiveSodium: 12 mmol24 hoursRed blood cells: 0hpfWhich of the following measures would have prevented this patients laboratory abnormalities?? A: Nitrofurantoin, B: TMP-SMX, C: Sterile technique, D: Avoidance of systemic steroids, E: Intermittent catheterization,  <response>: This is a clinical vignette about a 26-year-old woman with asthma who presented to the emergency department with shortness of breath. She was intubated for respiratory failure and admitted to the ICU. The question asks which of the listed interventions would have prevented her laboratory abnormalities. Based on the information provided, the patient developed a hospital-acquired urinary tract infection, evidenced by nitrites and leukocytes in the urine. This likely occurred due to the indwelling Foley catheter. The other laboratory values reflect expected changes from her acute illness and do not indicate any specific preventable abnormalities.Therefore, the measure that would have prevented her laboratory abnormalities is avoidance of an indwelling urinary catheter or use of intermittent catheterization instead. This would have prevented the hospital-acquired UTI.E: Intermittent catheterization 