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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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 C
Explanation
A. "Once the form has been signed, you cannot change your mind." This is incorrect as the client has the right to change their mind and withdraw consent at any time.
B. "I will explain the complications of the procedure." The nurse’s role in informed consent is to witness the signing and ensure the client understands, not to explain the procedure's details, which is the provider’s responsibility.
C. "I will obtain your signature which states that you understand the procedure." This is correct. The nurse’s role is to witness the client’s signature on the informed consent form, indicating that the client has understood the information provided by the provider.
D. "I can explain alternative treatments to you."Explaining alternative treatments is the responsibility of the provider, not the nurse.
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