Which of the following should be included when developing a teaching plan to prevent urinary tract infection?
Keeping urine alkaline by avoiding acidic beverages
Emptying bladder with urination
Wearing underwear made of synthetic material such as nylon
Avoiding bubble baths and tight clothing
Avoiding urination before and after intercourse
Maintaining adequate fluid intake
Correct Answer : B,D,F
When developing a teaching plan to prevent urinary tract infections (UTIs), the following recommendations should be included:
B. Emptying bladder with urination: It's important to encourage regular and complete emptying of the bladder to help flush out bacteria and prevent their buildup.
D. Avoiding bubble baths and tight clothing: Bubble baths and tight clothing can irritate the genital area and increase the risk of UTIs, especially in children. Recommending gentle hygiene practices and loose-fitting clothing can help reduce this risk.
F. Maintaining adequate fluid intake: Staying well-hydrated can help dilute urine and flush out bacteria from the urinary tract, reducing the risk of infection.
The following recommendations are not appropriate or effective for preventing UTIs:
A. Keeping urine alkaline by avoiding acidic beverages: While it's true that some individuals believe that altering urine pH can prevent UTIs, this is not a reliable or evidence-based approach. It's not recommended to manipulate urine pH in an attempt to prevent UTIs.
C. Wearing underwear made of synthetic material such as nylon: The choice of underwear material is not a primary factor in preventing UTIs. However, it's generally recommended to wear breathable cotton underwear as it can help maintain a dry environment in the genital area.
E. Avoiding urination before and after intercourse: On the contrary, urinating before and after sexual intercourse is a recommended practice to help flush out any bacteria that may have entered the urethra during sexual activity.
In summary, teaching about proper bladder emptying, avoiding irritants like bubble baths and tight clothing, and maintaining adequate hydration are key components of preventing UTIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Cardioversion involves delivering an electrical shock to the heart to restore a normal rhythm. While it may be used for certain types of tachyarrhythmias in adults, it is typically not the first-line treatment for SVT in pediatric patients.
In pediatric patients with SVT, the initial management options often include:
B. Vagal maneuvers: Non-invasive maneuvers like the Valsalva maneuver or carotid sinus massage can be attempted to try and break the SVT rhythm.
C. Adenosine: Adenosine is often the first-line medication used for terminating SVT in pediatric patients. It is given intravenously in a controlled setting under medical supervision.
D. Continue to monitor for 30 minutes: After successful termination of SVT, it's important to continue monitoring the child's heart rhythm and vital signs to ensure that the arrhythmia does not recur.
In pediatric patients, the decision to use cardioversion is usually reserved for situations where other methods, including medications and vagal maneuvers, have not been successful or if the child is unstable. Cardioversion in pediatric patients is performed under sedation or anesthesia to minimize discomfort.
Therefore, while cardioversion may be used in some cases, it is not the initial or most common approach for treating SVT in pediatric patients, making option A the answer to the question.
Correct Answer is A
Explanation
PDA is a congenital heart defect where a blood vessel called the ductus arteriosus, which is supposed to close shortly after birth, remains open. This allows oxygenated blood from the aorta to flow back into the pulmonary artery, leading to increased pulmonary blood flow and congestion. Over time, this can lead to increased pulmonary vascular congestion and potentially cause complications such as pulmonary hypertension and heart failure.
Surgical repair of PDA, often through a procedure known as ligation or closure of the ductus arteriosus, is performed to stop this abnormal blood flow and prevent the associated complications, particularly the increase in pulmonary vascular congestion.
The other options (B, C, and D) are not the primary complications associated with PDA and surgical repair is not performed primarily to address these issues:
B. Decreased workload on the left side of the heart is not a primary reason for surgical repair of PDA, although it can be a potential benefit of closing the ductus arteriosus.
C. Pulmonary infection is not a direct complication of PDA, but the increased pulmonary blood flow associated with a large PDA can make the lungs more susceptible to respiratory infections.
D. Right-to-left shunt of blood is not a typical complication of PDA. PDA typically involves left-to-right shunting of blood, with oxygenated blood flowing back into the pulmonary circulation, leading to complications related to increased pulmonary blood flow.
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