A nurse is educating a patient on preventing recurrent urinary tract infections (UTIs). Which advice targets the mode of transmission in the chain of infection?
Wipe from front to back after using the restroom,
increase fluid intake to flush out bacteria.
Take prescribed antibiotics as directed.
Avoid using scented hygiene products.
The Correct Answer is A
A. Wipe from front to back after using the restroom: This intervention reduces the transfer of fecal bacteria (commonly E. coli) from the perineal area to the urethra, directly targeting the mode of transmission in the chain of infection. Proper hygiene interrupts the pathway for bacterial entry into the urinary tract.
B. Increase fluid intake to flush out bacteria: Drinking adequate fluids helps dilute urine and promote urinary flow, which aids in clearing bacteria. While preventive, this action affects the host defense rather than the mode of transmission.
C. Take prescribed antibiotics as directed: Completing antibiotics prevents persistence or recurrence of infection by eliminating existing bacteria. This addresses the infectious agent rather than the transmission pathway.
D. Avoid using scented hygiene products: Scented soaps or feminine hygiene sprays can irritate the urethra and alter normal flora, but this primarily affects host susceptibility rather than the mode of transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer the medication as soon as you receive the order to prevent delay in treatment: Administering a high-alert medication without verification increases the risk of errors and potential harm. Prompt action should not bypass safety checks.
B. Write down the order immediately and verify it with the prescriber by reading it back: For high-alert medications, the nurse must accurately transcribe the order and perform a read-back verification with the prescriber. This ensures clarity, prevents errors, and aligns with patient safety standards.
C. Document the order in the electronic health record without verifying it with the prescriber: Entering a verbal order without confirmation risks transcription errors and compromises safety, particularly for high-alert medications.
D. Request a colleague to double-check the verbal order before documenting it: Peer verification may help catch errors, but it does not replace the critical step of read-back verification with the prescriber, which is required by safety protocols.
Correct Answer is B
Explanation
A. Introduce a blanket and stuffed animal to comfort the baby: Loose bedding and soft toys in the crib increase the risk of sudden infant death syndrome (SIDS) in newborns. This action is unsafe and not recommended for infants under 12 months.
B. Check for hunger, wet diaper, or cold and fix the issue quietly using minimal light and noise: Newborns wake frequently for basic needs. Addressing hunger, diaper changes, or temperature issues in a calm, quiet manner promotes restorative sleep and supports safety. Minimizing stimulation helps the baby return to sleep more easily.
C. Allow the baby to cry until they fall back asleep naturally: Letting a newborn “cry it out” is not appropriate at this age. Infants rely on caregivers for feeding, warmth, and comfort. Ignoring these needs can cause distress and disrupt healthy attachment.
D. Keep the baby awake during the day to reduce nighttime waking: Newborns have irregular sleep-wake cycles, and forcing wakefulness can lead to overtiredness, irritability, and difficulty feeding. Daytime sleep is essential for growth and development at this age.
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