The nurse is educating a female client about reducing the recurrence of urinary tract infections. Which of the following statements should pre nurse make?

*Promptly change out of Wet clothing such as fitting suits after use

"Buy synthetic underwear rather than cotton fabric

"Be sure to empty your bladder every 6-8 hrs

"Try to drink 500-1000 ml of fluid per day

Answer and Explanation

The Correct Answer is A

A. "Promptly change out of wet clothing such as bathing suits after use":
This is a key recommendation for preventing urinary tract infections (UTIs), especially in women. Wet clothing, such as swimsuits or damp exercise clothes, creates a warm, moist environment that encourages bacterial growth, particularly in the genital and perineal areas. Changing out of wet clothing promptly helps reduce the risk of bacteria entering the urinary tract, which is an important preventive measure for recurrent UTIs.

B. "Buy synthetic underwear rather than cotton fabric":
This statement is incorrect. Cotton underwear is recommended because it is breathable and helps keep the genital area dry, reducing the likelihood of bacterial growth. Synthetic fabrics, on the other hand, trap moisture and heat, creating an environment where bacteria can thrive, increasing the risk of UTIs. Therefore, wearing cotton underwear is advised rather than synthetic fabric.

C. "Be sure to empty your bladder every 6-8 hours":
This recommendation is somewhat inaccurate. To prevent UTIs, it is essential to empty the bladder more frequently than every 6-8 hours, especially if the person feels the urge to urinate. Holding urine for long periods can increase the risk of bacterial growth in the urinary tract. It is generally recommended to urinate at least every 3-4 hours during the day to prevent urine stagnation and reduce the risk of infection.

D. "Try to drink 500-1000 ml of fluid per day":
This fluid intake recommendation is too low. To prevent UTIs, a higher fluid intake is necessary—typically 2-3 liters (2000-3000 mL) of fluid per day. Adequate hydration helps ensure frequent urination, which flushes out bacteria from the urinary tract. Consuming only 500-1000 mL of fluid per day is insufficient and would likely increase the risk of UTIs due to less frequent urination and less flushing of the urinary system.

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Correct Answer is ["300"]

Explanation

Given:

IV fluids initiated at: 03:30

Infusion rate: 120 mL/hr

To find:

Volume of IV fluids infused by 06:00

Step 1: Calculate the duration of infusion

Time elapsed from 03:30 to 06:00 is 2 hours and 30 minutes, which is equal to 2.5 hours.

Step 2: Calculate the volume of IV fluids infused

Volume = Infusion rate x Time elapsed

Volume = 120 mL/hr x 2.5 hours = 300 mL

A. The patient has the virus but the infection is well controlled and not currently transmissible B. The syndrome has gone from Stage 3 back to stage 2 C. The patient can discontinue with antiretroviral therapy until the viral load rises again D. The patient will be prescribed lower doses of antiretroviral medications for 2 months

Correct Answer is A

Explanation

A) "The patient has the virus but the infection is well controlled and not currently transmissible."
An undetectable viral load means that the amount of HIV in the blood is so low that it cannot be detected by standard laboratory tests, typically due to effective antiretroviral therapy. However, the patient still has the HIV virus in their body, and it is essential to continue treatment. An undetectable viral load reduces the risk of transmission, particularly to partners, but it does not eliminate the virus entirely. Hence, the infection is well controlled, but ongoing medication is still necessary to maintain viral suppression.

B) "The syndrome has gone from Stage 3 back to stage 2."
An undetectable viral load does not change the HIV stage. HIV is classified into three stages, with Stage 3 representing AIDS. While effective antiretroviral therapy can prevent the progression to AIDS and help control the viral load, it does not "reverse" the stage of HIV infection. Once a person progresses to Stage 3 (AIDS), they remain in this category even if their viral load becomes undetectable.

C) "The patient can discontinue with antiretroviral therapy until the viral load rises again."
An undetectable viral load indicates successful treatment, but it is crucial for the patient to continue taking antiretroviral medications to maintain viral suppression. Discontinuing therapy increases the risk of viral rebound and drug resistance. Long-term adherence to antiretroviral therapy is essential for keeping the virus under control.

D) "The patient will be prescribed lower doses of antiretroviral medications for 2 months.". The goal of antiretroviral therapy is to maintain viral suppression indefinitely, not to reduce the dose or discontinue it temporarily. Lowering the dose of antiretroviral medications could result in viral rebound and loss of viral suppression. Therefore, consistent, full-dose therapy is required for optimal HIV management.

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The nurse is educating a female client about reducing the recurrence of urinary tract infections. Which of the following statements should pre nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

Correct Answer is ["300"]

Explanation

A patient has Human Immunodeficiency Virus infection and the viral load is reported as undetectable. What patient teaching should be provided by the nurse related to this laboratory study results?

Correct Answer is A

Explanation

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