A postmenopausal client diagnosed with cystitis asks the healthcare provider why she seems susceptible to recurrent infections.
What is true about cystitis?
The prevalence in men is increased due to sexual practices
It occurs less frequently in women due to shorter urethras
Clients are often asymptomatic
Hormonal changes can alter the normal flora of the urinary tract .
The Correct Answer is D
Choice A rationale
The prevalence of cystitis is not increased in men due to sexual practices. In fact, cystitis is more common in women due to the shorter length of the female urethra, which allows bacteria easier access to the bladder28.
Choice B rationale
Cystitis does not occur less frequently in women due to shorter urethras. In fact, the shorter length of the female urethra is one reason why women are more susceptible to urinary tract infections, including cystitis28.
Choice C rationale
While some clients with cystitis may be asymptomatic, many experience symptoms such as frequent urination, discomfort during urination, and lower abdominal pain28.
Choice D rationale
Hormonal changes, particularly those associated with menopause, can alter the normal flora of the urinary tract and increase the risk of cystitis. The decrease in estrogen levels that occurs during menopause can affect the balance of bacteria in the urinary tract and make postmenopausal women more susceptible to urinary tract infections, including cystitis28.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).
Choice B rationale
Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).
Choice C rationale
Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).
Choice D rationale
Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).
Correct Answer is C
Explanation
Choice A rationale
Intussusception is a condition in which a part of the intestine folds into the section next to it. It is not an inflammatory bowel disorder. Ulcerative colitis is an inflammatory bowel disorder, but it is not paired with intussusception in this context.
Choice B rationale
Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum. It is not an inflammatory bowel disorder.
Choice C rationale
Ulcerative colitis and Crohn’s disease are both types of Inflammatory Bowel Disease (IBD). They are chronic diseases that cause inflammation in the digestive tract, specifically the colon and the end of the small intestine.
Choice D rationale
Intussusception and volvulus are both types of bowel obstructions. They are not classified as inflammatory bowel disorders.
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