A nurse is reinforcing teaching with an adolescent female client who has recurrent urinary tract infections. Which of the following statements by the adolescent indicates an understanding of the teaching?
"I will need to urinate frequently throughout the day."
"I should wipe myself from back to front."
"I should wear nylon underwear."
"I will test my urine for ketones daily."
The Correct Answer is A
Choice A reason:
Frequent urination is a common symptom of urinary tract infections. It helps to flush out bacteria from the urinary tract.
Choice B reason:
Wiping from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of urinary tract infections. The correct technique is to wipe from front to back
Choice C reason:
Nylon underwear can trap moisture, creating an environment conducive to bacterial growth. Cotton underwear is recommended for better air circulation.
Choice D reason:
Testing urine for ketones is not directly related to preventing urinary tract infections. Ketone testing is more relevant for individuals with diabetes to monitor for ketoacidosis.
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Correct Answer is D
Explanation
Choice A reason:
Avoiding discussing the child's diagnosis with the sibling may create unnecessary secrecy and could hinder the sibling's understanding and coping.
Choice B reason:
Designating one parent to stay at home with the sibling may not be necessary, as both parents can still provide support and care for both children.
Choice C reason:
Avoiding having the sibling visit the child in the facility may isolate them and prevent opportunities for bonding and support.
Choice D reason:
This statement is correct. Encouraging phone calls between the siblings allows them to maintain communication, express their feelings, and support each other during the separation caused by hospitalization.
Correct Answer is A
Explanation
Choice A reason:
Children with cystic fibrosis often have increased calorie needs due to the extra energy required to breathe and the malabsorption of nutrients. A diet that is high in both protein and calories
helps meet these increased energy needs.
Choice B reason:
While a higher fat intake may be beneficial for some children with cystic fibrosis, it should not be at the expense of protein intake, which is also crucial for growth and development.
Choice C reason:
A diet that is low in both protein and calories would not be appropriate for a child with cystic fibrosis, as it may not provide sufficient energy and nutrients to support growth and
development.
Choice D reason:
A diet that is low in carbohydrates and high in fat is not typically recommended for children with cystic fibrosis. They need a balanced diet that includes a variety of macronutrients to meet their
increased energy needs.
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