A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)
Bathing at least twice a day
Using douche to cleanse the vaginal area
Consuming adequate fluid intake
Completing all the antibiotics as prescribed
Wiping the perineal area from front to back after voiding
Correct Answer : C,D,E
Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.
Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.
Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.
Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.
Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: While a heart atack is a serious condition, it is not directly related to peritonitis. Peritonitis can lead to systemic infection, which may indirectly affect the heart, but it is not the primary concern in the immediate care of peritonitis.
Choice B reason: Diabetes is a chronic condition that requires ongoing management. However, it is not the most immediate threat when a client is diagnosed with peritonitis. The nurse should continue to monitor blood glucose levels as part of routine care.
Choice C reason: Respiratory failure can be a complication of peritonitis if the infection spreads and affects other systems. However, the primary concern with peritonitis is the potential for the infection to lead to sepsis.
Choice D reason: Sepsis is a life-threatening condition that can occur as a complication of peritonitis. It happens when the body's response to infection causes injury to its own tissues and organs. Monitoring for signs of sepsis is crucial because early intervention can be lifesaving.
Correct Answer is D
Explanation
Choice A reason: A BUN level of 8 mg/dL and a creatinine level of 0.7 mg/dL are within normal ranges for healthy individuals. In CKD, BUN and creatinine levels are typically elevated due to decreased kidney function.
Choice B reason: A BUN level of 45 mg/dL is elevated, which could be expected in CKD, but a creatinine level of 8 ng/dL is not correctly expressed. Creatinine is measured in mg/dL, and in CKD, it would be higher than normal, not lower.
Choice C reason: A BUN level of 10 mg/dL and a creatinine level of 0.3 mg/dL are both lower than what would typically be expected in a patient with CKD. CKD usually results in higher levels due to reduced kidney function.
Choice D reason: A BUN level of 23 mg/dL and a creatinine level of 1.0 mg/dL are more aligned with what might be expected in CKD. Normal BUN levels range from 7 to 20 mg/dL, and normal creatinine levels can vary based on age, sex, and body size. In CKD, both levels tend to be higher as the kidneys' ability to filter blood decreases.
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