Which of the following is a risk factor for urinary tract infection (UTI)?

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

Choice a reason: Decreased blood glucose levels are not a common side effect of peritoneal dialysis. While blood glucose monitoring is important for clients undergoing dialysis, particularly those with diabetes, peritoneal dialysis typically does not lead to hypoglycemia. In fact, the dialysis solution used often contains glucose, which can actually increase blood glucose levels.
Choice b reason: Increased urine output is not a side effect associated with peritoneal dialysis. Many clients with end-stage renal disease have reduced urine output due to declining kidney function. Peritoneal dialysis helps to remove waste products and excess fluid from the body, but it does not typically result in increased urine production.
Choice c reason: Hypertension is not directly caused by peritoneal dialysis. While blood pressure management is crucial for clients with chronic kidney disease, the dialysis process itself does not inherently lead to hypertension. Other factors, such as fluid overload or underlying medical conditions, are more likely to contribute to high blood pressure in these clients.
Choice d reason: Abdominal pain is a potential side effect of peritoneal dialysis. The dialysis process involves the infusion of dialysis solution into the peritoneal cavity, which can cause discomfort or pain in some clients. This pain may be due to the catheter, the volume of fluid, or irritation of the peritoneal lining. Proper technique and monitoring can help manage and minimize this discomfort.