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 ["C"]
Explanation
After a cardiac catheterization procedure, it is essential to restrict activity and keep the affected extremity immobilized to prevent complications such as bleeding and hematoma formation at the catheter insertion site. Encouraging play and activity can increase the risk of disrupting the catheter site or causing bleeding.
The other interventions are generally appropriate after a cardiac catheterization procedure:
A. Putting pressure above the catheter site for first signs of bleeding: This is a standard procedure to monitor for any bleeding at the catheter site and is an appropriate intervention.
B. Regularly check the pulses and temperature of the affected extremity: Monitoring pulses and temperature is important to assess for adequate circulation and early detection of any vascular complications.
D. Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent blood clots: Early mobilization can help prevent blood clots, and it is generally a recommended intervention following cardiac catheterization.
E. Monitor cardiac function and oxygen saturation: Continuous monitoring of cardiac function and oxygen saturation is crucial to detect any immediate post-procedure complications and ensure the child's cardiovascular stability.
Correct Answer is A
Explanation
A. Weighing the child daily (A) is the most accurate and objective method for monitoring fluid retention in a child with nephrotic syndrome. Nephrotic syndrome can lead to significant fluid retention due to proteinuria and hypoalbuminemia. Daily weight measurements can detect even small changes in body weight, which may be indicative of fluid accumulation. It is a sensitive and specific measure for assessing fluid status.
B. Measuring the abdominal girth weekly (B) can provide some information about abdominal distension, but it is not as precise or sensitive as daily weight measurements. Weight gain or loss can occur without significant changes in abdominal girth, especially in children.
C. Counting the number of wet diapers (C) may provide some information about urinary output, but it does not directly measure overall fluid retention or body weight changes. It is not as reliable as daily weight measurements for assessing fluid status.
D. Testing the urine for hematuria (D) is a valuable diagnostic test to assess kidney function and the presence of blood in the urine, but it does not directly measure fluid retention. Hematuria is not typically the primary indicator of fluid overload in nephrotic syndrome.
In summary, daily weight measurements are the best way to monitor fluid retention in a child with nephrotic syndrome, as they provide a direct and objective assessment of changes in fluid status. This allows healthcare providers to make timely adjustments to the child's treatment plan if necessary.
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