A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a female client who has recurrent UTIs. Which of the following factors should the nurse include? Select all that apply.
Frequent Catherization.
Location of the urethra closer to the anus.
Frequent sexual intercourse.
Lowering of testosterone levels.
Wiping from front to back to clean the perineurn.
Correct Answer : A,B,C
A. Frequent catheterization can increase the risk of UTIs due to the introduction of bacteria into the urinary tract.
B. The proximity of the urethra to the anus increases the risk of bacterial contamination from the gastrointestinal tract.
C. Frequent sexual intercourse can introduce bacteria into the urethra, increasing the risk of UTIs.
D. Lowering of testosterone levels is not a significant factor in increasing the risk of UTIs in females.
E. Wiping from front to back helps prevent the introduction of bacteria from the anal area to the urethra.
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Related Questions
Correct Answer is D
Explanation
A. The helping relationship phases and nursing process are not specific communication tools for addressing safety concerns.
B. The nursing process is a systematic approach to patient care but is not a communication tool specifically for addressing safety concerns.
C. SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool commonly used in healthcare settings for reporting and addressing safety concerns.
D. CUS (I am concerned, I feel uncomfortable, this is unsafe) is a communication tool for expressing concerns, for instance, by saying something like this: "I am concerned about the patient's risk for falls. I feel uncomfortable seeing you walk the patient without a gait belt or non-skid socks. This is unsafe for the patient and could cause harm or injury. Please use a gait belt and non-skid socks when walking the patient." This way, the nurse can convey their message in a clear, respectful, and assertive way, and prompt the UAP to take action to ensure the patient's safety.
Correct Answer is A
Explanation
A. The Sims position (lying on the left side with the upper knee flexed) is commonly used for administering enemas.
B. Trendelenburg (head lower than feet) would increase the risk of aspiration and fluid overload.
C. Fowlers (sitting at a 45-60-degree angle) would decrease the flow of the solution and cause discomfort.
D. Prone (lying on the stomach) position would prevent the insertion of the enema tube and the administration of the solution.
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