A nurse is assessing a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, "1 bet I have a UTI. Why do I tend to get urinary tract infections?" Which of the following statements should the nurse include in the explanation?
"As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra
"If you take too many showers you are more susceptible to getting a UTI because you are washing off the protective bacteria"
"As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder.
"At your age, you have more sexual intercourse than older females making you more likely to get a UTI
The Correct Answer is C
A. While E. coli is the most common causative organism, the reason women are more prone to UTIs is not due to higher E. coli presence but anatomical differences.
B. Frequent showers are not a primary cause of UTIs; poor hygiene or incorrect wiping technique is more relevant.
C. Women have a shorter urethra, which allows bacteria quicker access to the bladder, increasing the risk for UTIs — this is the correct and evidence-based explanation.
D. While sexual activity can increase UTI risk, this explanation is overly generalized and age-related assumptions are inappropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Weighing at a convenient time can lead to inconsistent results; accuracy depends on consistency.
B. Weighing the client at the same time each day (preferably in the morning, after voiding and before eating) ensures accurate monitoring of fluid status.
C. Balancing the scale at minus two is incorrect and could lead to inaccurate weights.
D. Using different scales can produce variations in measurements; the same scale should be used daily.
Correct Answer is A
Explanation
A. Fewer dietary and fluid restrictions are generally needed with peritoneal dialysis because it is done more continuously, allowing for better waste and fluid balance.
B. Rigid schedules are more typical of in-center hemodialysis; peritoneal dialysis offers more flexibility.
C. History of abdominal surgery may cause adhesions or scarring, making peritoneal dialysis less suitable.
D. Use of a dialyzer applies to hemodialysis, not peritoneal dialysis, which uses the peritoneal membrane as the filter.
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