A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Clients who have vaginas have more alkalotic urine which promotes the growth of bacteria.

Clients who have vaginas have a shorter urethra allowing bacteria to invade the bladder more easily.

Clients who have vaginas have decreased strength of the detrusor muscle.

Clients who have vaginas have a decreased bladder capacity.

Answer and Explanation

The Correct Answer is B

Choice A reason: The pH of urine can vary, but having a more alkalotic urine does not necessarily promote the growth of bacteria. Urine is typically slightly acidic, which helps to prevent bacterial growth.

Choice B reason: The primary anatomical reason for the higher rates of UTIs in clients who have vaginas is the shorter length of the urethra compared to those who do not have vaginas. This shorter distance makes it easier for bacteria from the skin or rectal area to enter the bladder.

Choice C reason: The strength of the detrusor muscle, which controls the emptying of the bladder, does not have a direct correlation with the frequency of UTIs. UTIs are more related to bacterial invasion rather than muscle strength.

Choice D reason: Bladder capacity is generally not a factor in the frequency of UTIs. While residual urine can increase the risk of UTIs, this is not typically related to overall bladder capacity.

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Free Nursing Study Resources

Correct Answer is ["50"]

Explanation

Step 1: The total amount of phenytoin required per dose is 250 mg.

Step 2: Each 5 mL of oral solution contains 25 mg of phenytoin.

Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of oral solution. So, (250 mg ÷ 25 mg/5 mL).

Step 4: The result is 50 mL.

So, the nurse should administer 50 mL per dose. This is already a whole number, so no rounding is necessary.

A. The client states that they consume a high calcium diet and have had high calcium in their blood. B. The client reports that they had two urinary tract infections (UTI) in the past 10 months. C. The client reports that they took a lot of ibuprofen for arthritis for many years. D. The client states that they remember their mother saying their grandmother had this same genetic disease.

Correct Answer is B

Explanation

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

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A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

Correct Answer is B

Explanation

A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

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A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nursereport immediately to the provider?