A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Which of the following instructions should the nurse include in the teaching?
"Soak in a warm bath every day."
"Take an oral estrogen supplement."
"Drink 2 liters of water per day."
"Empty your bladder every 6 hours." .
The Correct Answer is C
Choice A rationale:
Soaking in a warm bath every day is not a preventative measure for chronic urinary tract infections. Warm baths might provide temporary relief for discomfort but do not prevent UTIs.
Choice B rationale:
Taking an oral estrogen supplement is not a standard preventative measure for chronic urinary tract infections. Estrogen therapy might be recommended for postmenopausal women with recurrent UTIs, but it's not a general preventive method for all women.
Choice C rationale:
"Drink 2 liters of water per day." This is the correct answer. Staying well-hydrated is essential to prevent urinary tract infections. Drinking an adequate amount of water can help flush out bacteria from the urinary system, reducing the risk of infections. The normal range for daily water intake varies but is generally around 2-3 liters or eight 8-ounce glasses per day.
Choice D rationale:
Emptying the bladder every 6 hours is a good practice, but it might not be sufficient for someone prone to chronic UTIs. Regular and frequent urination can help prevent the buildup of bacteria in the urinary tract. However, specific time intervals might vary from person to person, so a fixed 6-hour rule might not apply to everyone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Sun protection is necessary when using self-tanning creams. These products do not provide protection against harmful UV rays. Failure to use sun protection measures, such as sunscreen and protective clothing, can lead to skin damage and increase the risk of skin cancer.
Choice B rationale:
The risk of injury from firearms does not necessarily decrease as children enter adolescence. Adolescents, like any other age group, should be educated about the dangers of firearms and the importance of firearm safety. Access to firearms should be restricted, and proper storage and education about safe handling are essential.
Choice C rationale:
Driving skills can be impaired when friends are present, especially for new and inexperienced drivers. Peer pressure and distractions from friends can lead to risky behaviors and impaired judgment, increasing the risk of accidents. It is crucial to educate adolescents about the importance of focused and responsible driving.
Choice D rationale:
Medroxyprogesterone is a hormonal contraceptive and does not provide protection against gonorrhea or other sexually transmitted infections (STIs). Safe sex practices, including the use of barrier methods such as condoms, are essential in preventing the transmission of STIs.
Correct Answer is A
Explanation
The correct answer is **a. Observe for bruising of the skin.**
Choice A rationale: Observing for bruising of the skin is an appropriate nursing intervention when caring for a client receiving alteplase (recombinant tissue plasminogen activator or rt-PA), a thrombolytic medication used to dissolve blood clots. Alteplase can increase the risk of bleeding, including bruising, as it works to break down the clot. Closely monitoring the client for any signs of bleeding or bruising is crucial to identify and manage potential complications.
Choice B rationale: Administering medications intramuscularly is not recommended when a client is receiving alteplase. Intramuscular injections can increase the risk of bleeding and should be avoided, as alteplase can impair the body's ability to form clots and stop bleeding.
Choice C rationale: Monitoring vital signs every 4 hours is not the appropriate frequency for a client receiving alteplase. Vital signs should be monitored more frequently, typically every 30 minutes to 1 hour, to closely observe for any changes that may indicate bleeding or other complications.
Choice D rationale: Providing a diet low in protein is not a necessary intervention for a client receiving alteplase. Alteplase works by targeting the blood clot and does not require specific dietary modifications. The focus should be on monitoring for bleeding and managing any potential complications, rather than adjusting the client's diet.
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