A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?
"I need to drink at least 8 full glasses of liquid each day."
"I will need to empty my bladder after having sexual intercourse."
"I will need to wipe my perineal area from back to front after urination."
"I should avoid taking bubble baths."
The Correct Answer is C
A. Adequate hydration is essential for preventing UTIs as it helps flush bacteria from the urinary tract.
B. Voiding after sexual intercourse can help flush out bacteria that may have entered the urinary tract during intercourse, reducing the risk of UTIs.
C. Wiping from back to front after urination can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back.
D. Bubble baths can introduce irritants and bacteria into the vaginal and perineal area, increasing the risk of UTIs. Avoiding bubble baths is a recommended prevention measure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
The nurse should prioritize the client's immediate clinical needs based on the assessment data provided.
The first action should be to address the client's agitation, which is a sign of distress and can lead to safety issues. Therefore, the nurse should first address the client's "fall precautions" to ensure safety and prevent potential harm due to the client's disorientation and agitation.
Following this, the nurse should address the client's "urine collection" for urinalysis and culture and sensitivity (C&S), as it is critical to identify the cause of the client's febrile state and incontinence of foul-smelling urine, which could indicate an infection. This will allow for appropriate antibiotic therapy to be administered based on the sensitivity results.
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