A nurse is performing discharge teaching with a client who was admitted 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
Wiping the perineal area from front to back after voiding
Completing all the antibiotics as prescribed
Using douche to cleanse the vaginal area
Consuming adequate fluid intake
Correct Answer : B,C,E
A. Bathing at least twice a day is not specifically recommended for preventing pyelonephritis and may not impact infection risk.
B. Wiping from front to back helps prevent the spread of bacteria from the anus to the urethra, reducing the risk of urinary tract infections that could ascend to the kidneys.
C. Completing all antibiotics as prescribed ensures complete eradication of the infection and helps prevent recurrence.
D. Using douches can disrupt normal vaginal flora and increase the risk of infections; it is not recommended.
E. Adequate fluid intake promotes regular urination, which helps flush out bacteria and reduces the risk of kidney infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Swelling in the face (especially around the eyes) is a common symptom of nephrotic syndrome due to fluid retention from low albumin levels.
B. Increasing sodium intake is incorrect; clients with nephrotic syndrome should follow a low-sodium diet to help control edema. This statement indicates a need for further teaching.
C. A kidney biopsy may be ordered to determine the underlying cause of nephrotic syndrome, so this statement is accurate.
D. Proteinuria is a hallmark feature of nephrotic syndrome, and this is a correct understanding.
Correct Answer is C
Explanation
A. Ulcerative colitis affects the colon but does not directly increase the risk of peritonitis in peritoneal dialysis patients.
B. Hemochromatosis is a metabolic disorder and is not linked to increased peritonitis risk.
C. Diabetes impairs immune function and wound healing, increasing susceptibility to infections, including peritonitis in peritoneal dialysis clients.
D. Obesity may complicate dialysis but is not a direct risk factor for peritonitis.
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