A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Clients who have vaginas have more alkalotic urine which promotes the growth of bacteria.

Clients who have vaginas have a shorter urethra allowing bacteria to invade the bladder more easily.

Clients who have vaginas have decreased strength of the detrusor muscle.

Clients who have vaginas have a decreased bladder capacity.

Answer and Explanation

The Correct Answer is B

Choice A reason: The pH of urine can vary, but having a more alkalotic urine does not necessarily promote the growth of bacteria. Urine is typically slightly acidic, which helps to prevent bacterial growth.

Choice B reason: The primary anatomical reason for the higher rates of UTIs in clients who have vaginas is the shorter length of the urethra compared to those who do not have vaginas. This shorter distance makes it easier for bacteria from the skin or rectal area to enter the bladder.

Choice C reason: The strength of the detrusor muscle, which controls the emptying of the bladder, does not have a direct correlation with the frequency of UTIs. UTIs are more related to bacterial invasion rather than muscle strength.

Choice D reason: Bladder capacity is generally not a factor in the frequency of UTIs. While residual urine can increase the risk of UTIs, this is not typically related to overall bladder capacity.

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Correct Answer is A

Explanation

Choice A reason: Ice cream is considered a fluid in dietary terms, so not counting it as part of fluid intake shows a misunderstanding.

Choice B reason: Making a list of favorite beverages does not demonstrate understanding of fluid restrictions.

Choice C reason: Putting beverages in large containers does not reffect an understanding of fluid restrictions and could lead to overconsumption.

Choice D reason: Consuming most fluid during the evening could lead to fluid overload overnight, which is not advisable.

A. The erythrocyte sedimentation rate (ESR) B. The hematocrit (Hct) C. The platelet count D. The leukocyte count

Correct Answer is B

Explanation

Choice A reason: The erythrocyte sedimentation rate (ESR) is not directly aﬀected by epoetin alfa therapy, which is used to treat anemia.

Choice B reason: Epoetin alfa stimulates erythropoiesis, leading to an increase in red blood cell production, which would be reﬂected in an increased hematocrit level.

Choice C reason: The platelet count is not directly aﬀected by epoetin alfa therapy.

Choice D reason: The leukocyte count is not directly aﬀected by epoetin alfa therapy.

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A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

Correct Answer is B

Explanation

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