A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

Wear underwear made from nylon.

Wait to void until the bladder feels full.

Drink 16 oz of cranberry juice each day.

Use an over-the-counter douche product after intercourse.

Answer and Explanation

The Correct Answer is C

A.   Nylon underwear can trap moisture and promote bacterial growth, increasing the risk of UTIs. Cotton underwear is recommended for better ventilation.
B.   Delaying voiding can increase the risk of UTIs by allowing bacteria to multiply in the bladder. Voiding regularly and completely is important for flushing out bacteria.
C.   Cranberry juice contains compounds that may help prevent UTIs by preventing bacteria from adhering to the urinary tract lining.
D.   Douching can disrupt the natural balance of bacteria in the vagina and increase the risk of UTIs and other infections.

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Correct Answer is B

Explanation

A. In the oliguric phase of acute kidney injury, fluid intake may need to be restricted rather than encouraged to prevent fluid overload.
B. Hourly intake and output monitoring is crucial for managing fluid balance and assessing the progression of kidney injury. Close monitoring can help prevent fluid overload, which is a risk due to the reduced urine output. It also aids in the timely adjustment of fluid administration and the detection of any changes in the client's condition that may necessitate intervention.
C. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are contraindicated in acute kidney injury as they can further impair renal function.

D. In the oliguric phase, protein intake may need to be restricted to reduce the workload on the kidneys and minimize azotemia. A high-protein diet can increase the burden on already compromised kidneys due to the increased production of urea, a byproduct of protein metabolism that requires excretion by the kidneys.

A. Bowel sounds B. Temperature C. Heart rate D. Skin integrity

Correct Answer is B

Explanation

A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

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A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

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Correct Answer is B

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A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?