A nurse is caring for a client who has a urinary tract infection. Which of the following actions should the nurse take?
Instruct the client to take a sitz bath three times a week.
Request a prescription for gabapentin.
Encourage the client to drink 2 oz of grapefruit juice each day.
Increase the client's fluid intake to 3 L each day.
The Correct Answer is D
A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Uses a paper towel to turn the water off after washing hands: This is correct practice. Using a paper towel to turn off the faucet helps prevent recontamination of hands after handwashing.
B. Uses a respirator mask when bathing a client who has hepatitis A: This is incorrect. Hepatitis A is transmitted through fecal-oral contact, not airborne. Standard precautions, such as using gloves and hand hygiene, are appropriate, but a respirator is not necessary.
C. Keeps artificial fingernails trimmed short: While keeping fingernails trimmed is important for infection control, artificial nails are not recommended in healthcare settings due to the risk of harboring pathogens.
D. Shakes out soiled linen before bagging it: This is incorrect. Shaking out soiled linen can spread contaminants into the air. Soiled linen should be handled carefully and placed directly into the appropriate bag without shaking.
Correct Answer is ["E"]
Explanation
A. Place the client in the prone position. The client should be placed in the Sims' (left lateral) position for enema administration.
B. Insert the lubricated tip 2.5 cm (1 in) into the anal canal. The lubricated tip should be inserted 7.5-10 cm (3-4 inches) into the anal canal.
C. Hang the solution bag 7.5 cm (3 in) above the rectum. The solution bag should be hung approximately 30 cm (12 inches) above the rectum.
D. Raise the solution bag if the client exhibits pain during the procedure. The solution bag should be lowered or the flow rate slowed if the client experiences pain.
E. Encourage the client to retain the enema solution for 10 min. Retaining the enema solution for a period of time enhances its effectiveness.
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