A nurse is performing an assessment of a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, "I bet I have a UTI. Why do I tend to get urinary tract infections?" Which of the following statements should the nurse include in the explanation?
"If you take too many showers, you are more susceptible to getting a UTI because you are washing o? the protective bacteria."
"As a female, you have a shorter urethra, creating an easier way for bacteria to invade your bladder."
"As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra."
"At your age, you have more sexual intercourse than older females, making you more likely to get a UTI."
The Correct Answer is B
Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.
Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.
Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.
Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is D
Explanation
Choice A reason: Being a breast cancer survivor is not an absolute contraindication for kidney transplant. Patients with a history of malignancy should be successfully treated before proceeding with transplantation, and most candidates with a history of cancer are advised to wait a period of time between successful treatment and transplantation.
Choice B reason: Having a pacemaker is not a contraindication for kidney transplant. Patients with cardiac devices can undergo transplantation if their cardiac condition is stable and well-managed.
Choice C reason: Age alone, such as being 65 years of age, is not an absolute contraindication for kidney transplant. Many transplant centers perform successful kidney transplants in older adults, considering their overall health and potential benefits from the procedure.
Choice D reason: Active drug or alcohol addiction is considered a contraindication for kidney transplantation. Patients with addiction should be in an established recovery program and stable for a minimum of one year before being considered for transplant.
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