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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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason:
A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.
Choice B reason:
Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.
Choice C reason:
Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.
Choice D reason:
This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.
Correct Answer is C
Explanation
Choice A reason:
Improved feedings can be a positive sign, but it may not directly indicate the therapeutic effect of phenobarbital.
Choice B reason:
Restored surfactant is not directly related to the action of phenobarbital, which is used to manage symptoms of neonatal abstinence syndrome.
Choice C reason:
Phenobarbital is a medication that can help alleviate CNS irritability in infants with neonatal abstinence syndrome. Therefore, a decrease in CNS irritability indicates a therapeutic effect of the medication.
Choice D reason:
Decreased excoriation is not a primary effect of phenobarbital. This medication primarily addresses CNS symptoms associated with neonatal abstinence syndrome.
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