A 68-year-old female client with a history of recurrent cystitis is discharged after treatment. Which statement indicates a need for further teaching about preventing future urinary infections?
"I will urinate before and after sexual activity to flush out bacteria."
"I will take prescribed estrogen cream as directed to maintain tissue health."
"I will limit my daily fluid intake to avoid nighttime urination."
"I will wipe from front to back after using the toilet."
The Correct Answer is C
Choice A reason: Urinating before and after sexual activity helps flush out bacteria introduced during intercourse, reducing the risk of infection. This is a recommended preventive strategy.
Choice B reason: Topical estrogen therapy can help restore vaginal mucosal integrity in postmenopausal women, reducing susceptibility to recurrent UTIs. This is appropriate and evidence-based.
Choice C reason: Limiting fluid intake increases the risk of urinary stasis and concentrated urine, which promotes bacterial growth. Adequate hydration is essential for preventing UTIs, even if it means more frequent urination.
Choice D reason: Proper hygiene practices, such as wiping front to back, help prevent the transfer of bacteria from the anal area to the urethra. This is a key preventive measure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A bounding pulse may indicate increased circulation, but it is not typically a red flag unless accompanied by other symptoms. It does not require immediate reporting.
Choice B reason: Unrelieved pain despite analgesics is a hallmark sign of compartment syndrome, a medical emergency. It indicates increased pressure within the cast that can compromise circulation and nerve function.
Choice C reason: Finger stiffness may occur due to immobilization but is not an urgent concern unless accompanied by numbness, pallor, or pain.
Choice D reason: A small amount of bloody drainage may be expected initially. However, excessive or foul-smelling drainage would warrant concern. In this case, the amount described does not require immediate action.
Correct Answer is B
Explanation
Choice A reason: Bronchoscopy is a diagnostic and therapeutic procedure, not a preventive intervention for atelectasis. It is used when obstruction or complications are suspected.
Choice B reason: Frequent turning and ambulation are foundational nursing interventions that promote lung expansion and reduce the risk of atelectasis. They are supported by clinical guidelines.
Choice C reason: Positive pressure ventilation may be used in critical care settings but is not standard for routine postoperative prevention unless the client is ventilated.
Choice D reason: Intermittent oxygen therapy does not directly prevent atelectasis. Oxygen may be used to treat hypoxemia but does not promote alveolar expansion.
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