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."

Answer and Explanation

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 B

Explanation

Choice A reason:

Placing a folded blanket to pad the back of the infant's head is not recommended, as it can interfere with the proper fit of the car seat harness and potentially be a safety hazard.

Choice B reason:

This statement is correct. Infant car seats should be positioned at a 30-degree angle to provide optimal support for the infant's head and neck, as well as to prevent airway obstruction.

Choice C reason:

While car seats with a four-point harness do exist, a standard infant car seat typically has a five- point harness system.

Choice D reason:

The retainer clip should be positioned at the level of the infant's armpits to ensure that the harness is snug and secure.

A. Give the child a pacifier that has been dipped in an oral sucrose solution during the procedure. B. Apply a eutectic mixture of local anesthetics cream to the intended puncture site 1 hr before the procedure. C. Instruct the parent how to perform kangaroo care during the procedure. D. Administer aspirin to the child 1 hr before the procedure.

Correct Answer is A

Explanation

Choice A reason:

Using a pacifier dipped in an oral sucrose solution can help provide comfort and alleviate pain during the procedure, making it a suitable option for blood specimen collection in preschoolers.

Choice B reason:

Applying a eutectic mixture of local anesthetics cream may not be the most appropriate option for blood specimen collection in preschoolers, as it may not provide sufficient pain relief for the procedure.

Choice C reason:

Kangaroo care involves skin-to-skin contact between an infant and a parent, which is beneficial for bonding and comfort but may not be directly applicable to a blood specimen collection procedure.

Choice D reason:

Placing the infant in a prone position for sleeping is not related to blood specimen collection and may not be appropriate immediately postoperatively.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about infant car seat use with a group of new parents. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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