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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: General anesthesia can impair the autonomic nervous system, which controls bladder function, leading to urinary retention. This risk is particularly high shortly after surgery.
Choice B reason: While liver failure can lead to multiple organ dysfunction, it is not directly associated with urinary retention unless there are concurrent issues affecting the urinary system.
Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, which could potentially cause urinary obstruction, but it is not a direct cause of urinary retention.
Choice D reason: Antibiotics for a skin infection would not typically lead to urinary retention unless there were an allergic reaction or other rare side effects that affect the urinary system.
Correct Answer is A
Explanation
Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.
Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.
Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.
Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.
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