A 4-year-old client is diagnosed with a urinary tract infection. After taking a history about the client from the mother, which data is most likely related to the client's urinary tract infection?
Takes a bubble bath every day.
Does not always wash her hands after toileting.
Drinks mostly carbonated beverages with her meals.
Wipes her perineal area from front to back after toileting.
The Correct Answer is A
The correct answer is choice A. Takes a bubble bath every day.
Choice A rationale:
Bubble baths can cause urinary tract infections (UTIs) in children. The soap and bubbles can irritate the child’s privates, leading to discomfort and potentially contributing to the development of a UTI. It’s particularly true for young girls, as exposure to soap and bubbles can hurt their privates, leaving them itchy and uncomfortable. While not the most common cause, bubble baths have been associated with UTIs due to the irritation they can cause.
Choice B rationale:
While handwashing is crucial for preventing the spread of germs, there is less direct evidence linking the lack of handwashing after toileting to UTIs. However, good hygiene practices, including handwashing, are generally recommended to reduce the risk of infections.
Choice C rationale:
Carbonated beverages have been associated with bladder irritation and UTIs in some cases. They can cause problems for individuals with interstitial cystitis, bladder stones, and UTIs due to the carbonic acid they contain. However, the link between carbonated beverages and UTIs is not as direct as that of bubble baths.
Choice D rationale:
Wiping the perineal area from front to back after toileting is actually a recommended practice to prevent UTIs. It helps to prevent bacteria from the stool from contaminating the urethra and bladder, which can lead to an infection. Therefore, this choice is unlikely to be related to the client’s UTI.
In conclusion, the most likely data related to the client’s urinary tract infection is the daily bubble baths, as they can directly irritate the urinary tract and create conditions conducive to a UTI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Inflammation and edema of the scrotum is not a typical symptom of gonorrhea. Scrotal involvement is more commonly associated with conditions like epididymitis.
Choice B rationale:
Painful urination with yellow urethral discharge is a classic symptom of gonorrhea. The infection affects the genitourinary tract, causing discomfort during urination and a characteristic purulent discharge.
Choice C rationale:
Maculopapular rash in the genital area is not a typical presentation of gonorrhea. This type of rash might be seen in other infections, such as syphilis.
Choice D rationale:
Red, hard lesion on the penis is not a common manifestation of gonorrhea. This description more closely matches the appearance of a primary syphilis chancre.
Correct Answer is B
Explanation
Choice A rationale:
Allowing the patient to stay in the chosen position might not be the best approach, as the child's preference might not align with therapeutic considerations for managing status asthmaticus.
Choice B rationale:
Semi-Fowler's position, with the head of the bed elevated, promotes improved lung expansion and easier breathing for patients with respiratory distress. Explaining the rationale behind this position to the child helps them understand its therapeutic benefits, encouraging compliance.
Choice C rationale:
Demonstrating various positions could confuse the child and delay appropriate intervention. A clear explanation of the preferred position is more effective in this critical situation.
Choice D rationale:
Removing pillows might be counterproductive, as elevating the head of the bed is beneficial for respiratory distress. This choice contradicts the therapeutic goal.
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