A nurse is providing education to a female patient who has been diagnosed with recurrent urinary tract infections. What statement should the nurse include in the education?

"Void every four hours even if you feel like you do not need to urinate."

"You should perform Kegel exercises several times a day."

"When possible, you should try to take a tub bath instead of a shower."

“It is important to clean front to back during bathing and after using the restroom."

Answer and Explanation

The Correct Answer is D

A. "Void every four hours even if you feel like you do not need to urinate." While frequent voiding is beneficial, forcing a rigid schedule is not necessary. The priority is voiding after intercourse and staying hydrated to flush bacteria.

B. "You should perform Kegel exercises several times a day." Kegel exercises strengthen the pelvic floor but do not prevent UTIs.

C. "When possible, you should try to take a tub bath instead of a shower." Soaking in a bath can introduce bacteria into the urethra, increasing UTI risk. Showers are recommended.

D. “It is important to clean front to back during bathing and after using the restroom.” Wiping front to back prevents the spread of bacteria from the perineal area to the urethra, a major cause of UTIs.

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Correct Answer is B

Explanation

A. A 32-year-old with menstrual cramps. Cold therapy can help relieve pain and reduce pelvic inflammation.

B. A 78-year-old with peripheral arterial disease. Cold therapy causes vasoconstriction, which can further reduce circulation in clients with PAD, increasing the risk of tissue damage.

C. A 44-year-old with a hematoma to the leg: Cold therapy is recommended for hematomas as it reduces swelling and bleeding.

D. A 69-year-old with a pulled muscle: Cold therapy reduces inflammation and numbs pain, making it beneficial for muscle injuries.

A. Avoid using your fingers to open the mouth. B. Apply moisturizer to the oral mucosa and lips. C. Brush the teeth with a soft bristled toothbrush D. Use a toothbrush with a suction attachment

Correct Answer is D

Explanation

A. Avoid using your fingers to open the mouth: While this is a safety measure to prevent injury, it is not the most important intervention.

B. Apply moisturizer to the oral mucosa and lips: While this is beneficial for comfort, preventing aspiration and maintaining airway patency are higher priorities.

C. Brush the teeth with a soft-bristled toothbrush: Oral hygiene is important, but the highest priority is preventing aspiration.

D. Use a toothbrush with a suction attachment: Suction prevents the accumulation of oral secretions, reducing the risk of aspiration pneumonia in a sedated patient.

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A nurse is providing education to a female patient who has been diagnosed with recurrent urinary tract infections. What statement should the nurse include in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clients should avoid the use of cold therapy?

Correct Answer is B

Explanation

The nurse is providing oral care to a sedated patient. What intervention is most important to implement with this patient?

Correct Answer is D

Explanation

A student nurse is assigned a patient to provide care for throughout the day. Which of the following actions would violate client confidentiality?

A client is on bed rest and an enema has been ordered. In what position should the nurse position the client?

A client is having difficulty having a bowel movement laying on the bedpan. What is the physiologic reason for this problem?

A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?

A patient lives in a rural area and requires frequent appointments related to their health condition. Which of the following interventions should the nurse facilitate?

A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

The following procedures have been ordered and implemented for a hospitalized patient. Which procedure carries the greatest risk for a healthcare-associated infection?