Following a history of vaginal discharge and lower abdominal pain, a client is diagnosed with pelvic inflammatory disease (PID). When providing client education, the nurse identifies an understanding of the teaching when the client makes which statement in regard to preventing a reoccurrence?

"I should include foods high in protein and vitamin C in my diet."

"My sexual partner should be tested for sexually transmitted infections (STIs)."

"I will require surgery to drain and irrigate my pelvis."

"I should receive the human papillomavirus (HPV) vaccine."

Answer and Explanation

The Correct Answer is B

A. "I should include foods high in protein and vitamin C in my diet": This is incorrect. While a healthy diet can support overall health, it is not a specific preventive measure for PID recurrence.
B. "My sexual partner should be tested for sexually transmitted infections (STIs)": This is correct. Preventing STI transmission is crucial in reducing the risk of PID recurrence. Both partners should be tested and treated if necessary to prevent reinfection.
C. "I will require surgery to drain and irrigate my pelvis": This is incorrect. Surgery is not typically required to prevent PID recurrence. Treatment and prevention focus on antibiotics and STI management.
D. "I should receive the human papillomavirus (HPV) vaccine": This is incorrect. While the HPV vaccine can prevent certain sexually transmitted infections, it does not directly address the prevention of PID, which is more related to preventing and treating STIs.

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Correct Answer is B

Explanation

A. Manually irrigate the catheter: This action is premature if the issue is due to a kink or obstruction in the tubing. Manual irrigation should only be performed if other less invasive measures do not resolve the issue.
B. Check the catheter tubing for kinks: This is the first step to take as kinks in the tubing can obstruct the flow of urine. Identifying and correcting kinks may resolve the problem without further intervention.
C. Notify the healthcare provider: This step may be necessary if other interventions do not resolve the issue, but it is not the first action.
D. Adjust the rate of the bladder irrigant: This may be relevant if the problem is related to the irrigation rate, but checking for kinks should be done first to ensure proper catheter function.

A. Ensure the client's intake is greater than their output. B. Monitor the client's urine output every eight hours. C. Remind the client he might feel a constant urge to void. D. Assess for manifestations of fluid volume deficiency.

Correct Answer is C

Explanation

A. Ensure the client's intake is greater than their output: This is incorrect. In continuous bladder irrigation, the output may exceed the intake because the irrigation fluid is used to flush the bladder. The focus should be on ensuring proper drainage and monitoring for clots or obstruction rather than ensuring intake exceeds output.
B. Monitor the client's urine output every eight hours: This is incorrect. Following a transurethral resection of the prostate with continuous bladder irrigation, urine output should be monitored more frequently to ensure the irrigation system is functioning properly and to assess for signs of bleeding or obstruction.
C. Remind the client he might feel a constant urge to void: This is correct. It is common for clients to experience a constant urge to void due to bladder irritation and the presence of the catheter.
D. Assess for manifestations of fluid volume deficiency: This is incorrect. The primary concern with continuous bladder irrigation is monitoring for signs of bleeding or obstruction rather than fluid volume deficiency. Fluid balance is monitored based on intake and output, but deficiency is less likely in this context.

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Following a history of vaginal discharge and lower abdominal pain, a client is diagnosed with pelvic inflammatory disease (PID). When providing client education, the nurse identifies an understanding of the teaching when the client makes which statement in regard to preventing a reoccurrence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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