A nurse is assessing a patient's skin for temperature and moisture.
What is the most appropriate technique to use?

Choice A rationale

Breads are generally well-tolerated and do not contain substances known to irritate the bladder. They are composed primarily of carbohydrates and are not acidic or caffeinated, making them a safe dietary choice for individuals with a urinary tract infection.

Choice B rationale

While some fresh fruits are acidic, many are not strong bladder irritants and contribute to overall hydration and nutrient intake. The impact of specific fruits can vary among individuals, but generally, fresh fruits are not a universal avoidance recommendation for UTIs.

Choice C rationale

Caffeine acts as a diuretic and a bladder irritant. It can increase urinary frequency, urgency, and may exacerbate bladder discomfort and inflammation in individuals with a urinary tract infection by stimulating the bladder detrusor muscle. Therefore, it should be avoided.

Choice D rationale

Cheeses, particularly aged cheeses, do not typically contain compounds that directly irritate the bladder. They are a source of protein and fat, and generally do not contribute to urinary symptoms in the context of a urinary tract infection.

Choice A rationale

Wearing gloves when handling frozen food items is not related to preventing a myasthenic crisis. A myasthenic crisis is characterized by severe muscle weakness, including respiratory muscles, and is often triggered by infection or medication changes, not temperature exposure to hands.

Choice B rationale

Avoiding warm climates is not a primary preventative measure for myasthenic crisis. While extreme temperatures can sometimes exacerbate symptoms in some individuals with myasthenia gravis, it is not a direct trigger for a crisis. Infections are a far more common precipitating factor.

Choice C rationale

Receiving an annual influenza vaccination is crucial for preventing infections, which are a common trigger for myasthenic crisis. Infections, particularly respiratory infections, can significantly worsen muscle weakness and precipitate life-threatening respiratory compromise in patients with myasthenia gravis.

Choice D rationale

Increasing intake of protein does not directly prevent a myasthenic crisis. While adequate nutrition is important for overall health, there is no specific evidence that increased protein intake prevents the acute exacerbation of muscle weakness characteristic of a myasthenic crisis.