A nurse is performing an assessment of a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, "I 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?
"If you take too many showers, you are more susceptible to getting a UTI because you are washing o? the protective bacteria."
"As a female, you have a shorter urethra, creating an easier way for bacteria to invade your bladder."
"As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra."
"At your age, you have more sexual intercourse than older females, making you more likely to get a UTI."
The Correct Answer is B
Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.
Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.
Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.
Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.
Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.
Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.
Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.
Correct Answer is D
Explanation
Choice A reason: A pH of 7.26 indicates acidosis, but an HCO3 of 24 and PaCO2 of 46 suggest a respiratory cause rather than metabolic, which is not typical for AKI.
Choice B reason: A pH of 7.49 indicates alkalosis, and with an HCO3 of 30 and PaCO2 of 40, this suggests metabolic alkalosis, which is not expected in AKI.
Choice C reason: A pH of 7.49 indicates alkalosis. An HCO3 of 24 is normal, and a PaCO2 of 30 would suggest respiratory alkalosis, not typically associated with AKI.
Choice D reason: A pH of 7.26 indicates acidosis, and with an HCO3 of 14, this suggests metabolic acidosis, which is consistent with AKI. The PaCO2 of 30 indicates a compensatory respiratory response to the metabolic acidosis. This ABG result aligns with the expected findings in a patient with AKI, where there is an accumulation of acids and a decrease in bicarbonate due to the kidneys' inability to filter and excrete hydrogen ions effectively.
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