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 B
Explanation
Choice A: Teaching the child to swim does not eliminate the risk of accidental drowning. While swimming skills are important, they cannot guarantee that a child will not drown, especially if they are unsupervised or encounter an unexpected situation in the water.
Choice B: An adult should remain within arm's reach of the child when near water. Constant supervision is crucial because toddlers can move quickly and may not understand the dangers of water. Being within arm's reach allows the adult to react immediately if the child is in distress.
Choice C: Most incidents of accidental drowning do not necessarily occur in ponds or lakes; they can happen in any body of water, including home swimming pools, bathtubs, and even buckets. Therefore, vigilance is required around all water sources.
Choice D: Placing a fence around a pool can help prevent accidental drowning, but it does not ensure the safety of the child. A fence is a barrier but not a substitute for active supervision. It's also important that the fence is properly maintained and secured.
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