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.
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Related Questions
Correct Answer is ["B","C","E"]
Explanation
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.
Correct Answer is D
Explanation
A. Pyelonephritis is most often caused by a single organism, most commonly Escherichia coli (E. coli), not a variety of different microorganisms.
B. Pyelonephritis is an infection of the upper urinary tract, specifically affecting the kidneys, not the lower urinary tract.
C. Pyelonephritis typically presents with symptoms, such as flank pain, fever, chills, and urinary urgency or frequency.
D. Upward spread of bacteria from the bladder (ascending infection) is the most common cause of pyelonephritis, making this the correct statement.
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