Which action will increase the chance of urinary tract infection?
Taking showers instead of baths
Drinking 8 cups of liquid each day
Wiping the perineal area from back to front after urination
Emptying the bladder regularly and completely
The Correct Answer is C
Choice A reason: Taking showers instead of baths reduces urinary tract infection risk by avoiding prolonged exposure to bacteria in bathwater. Showers minimize contamination of the urethral area, making this choice incorrect for increasing UTI risk.
Choice B reason: Drinking 8 cups of liquid daily promotes urine production, flushing bacteria from the urinary tract, reducing infection risk. Adequate hydration supports urinary system health, making this choice incorrect for increasing UTI risk.
Choice C reason: Wiping from back to front introduces fecal bacteria, like E. coli, to the urethra, increasing the risk of urinary tract infections. This improper hygiene practice facilitates bacterial entry, making this the correct choice.
Choice D reason: Emptying the bladder regularly and completely prevents urine stasis, which reduces bacterial growth and infection risk. Regular voiding flushes pathogens from the urethra, making this choice incorrect for increasing UTI risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increased skin pigmentation is associated with Addison’s disease due to elevated ACTH stimulating melanocytes. Cushing syndrome, caused by excess cortisol, typically causes skin thinning and bruising, not hyperpigmentation. The excess cortisol does not directly affect melanin production, making this choice incorrect.
Choice B reason: Cushing syndrome leads to weight gain, not weight loss, due to cortisol’s promotion of fat deposition in central areas (e.g., abdomen, face). Increased appetite and altered metabolism contribute to obesity, not weight loss, making this choice incorrect as it contradicts the metabolic effects of hypercortisolism.
Choice C reason: Cushing syndrome often causes hypertension, not decreased blood pressure, due to cortisol’s mineralocorticoid effects, increasing sodium retention and vascular resistance. Decreased blood pressure is more associated with adrenal insufficiency, making this choice incorrect as it does not align with Cushing syndrome’s pathophysiology.
Choice D reason: Cushing syndrome, characterized by excess cortisol, suppresses the immune system by inhibiting inflammatory responses and reducing lymphocyte activity. This increases susceptibility to infections and impairs wound healing, making decreased immune response a hallmark complication, which is why this choice is correct.
Correct Answer is D
Explanation
Choice A reason: Lack of appetite is not typical in type 1 diabetes, where increased appetite (polyphagia) occurs due to glucose deprivation in cells. Weight loss is more characteristic, making this choice incorrect.
Choice B reason: Oliguria (low urine output) is not a feature of type 1 diabetes, which causes polyuria due to osmotic diuresis from hyperglycemia. This makes the choice incorrect for type 1 diabetes.
Choice C reason: Night sweats are not a primary manifestation of type 1 diabetes. They may occur in hypoglycemia but are not a hallmark symptom, unlike weight loss, making this choice incorrect.
Choice D reason: Weight loss in type 1 diabetes results from insulin deficiency, preventing glucose uptake, leading to fat and muscle breakdown for energy. This is a classic symptom, making this the correct choice.
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