A nurse is caring for a client who has a urinary tract infection. Which of the following actions should the nurse take?
Instruct the client to take a sitz bath three times a week.
Request a prescription for gabapentin.
Encourage the client to drink 2 oz of grapefruit juice each day.
Increase the client's fluid intake to 3 L each day.
The Correct Answer is D
A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.
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Related Questions
Correct Answer is D
Explanation
A. Plan to initiate a bladder retraining program for the client. This is important but not the immediate first action.
B. Protect the client's perineal skin with a moisture barrier. This is a preventive measure but not the first step in evidence-based practice.
C. Teach the client to perform pelvic floor muscle exercises. This is useful but not the immediate first action.
D. Request a prescription for catheter removal. Indwelling urinary catheters should be removed as soon as possible to reduce the risk of infection, which aligns with evidence-based practice.
Correct Answer is B
Explanation
A. Chronic obstructive pulmonary disease is primarily related to smoking and environmental factors, not obesity.
B. Gastroesophageal reflux disease: This is correct. Obesity increases the risk of GERD due to increased intra-abdominal pressure.
C. Diabetes insipidus is related to ADH deficiency and not associated with obesity.
D. Rheumatoid arthritis is an autoimmune disorder and is not directly linked to obesity.
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