The nurse determines that instruction regarding prevention of future urinary tract Infections for a female client who has cystitis has not been effective when the client states, "I:
will urinate before and after sexual intercourse."
will empty my bladder every 3 to 4 hours during the day."
can use vaginal sprays and douches to reduce bacteria."
will wipe from front to back after I urinate."
The Correct Answer is C
A. Emptying the bladder before and after sexual intercourse can help flush out bacteria that may have entered the urethra during sexual activity, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.
B. Regularly emptying the bladder helps prevent the buildup of bacteria in the urinary tract, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.
C. Using vaginal sprays and douches can disrupt the natural balance of bacteria in the vagina and increase the risk of UTIs and other vaginal infections. Therefore, this statement indicates a misunderstanding of preventive measures and could potentially contribute to an increased risk of UTIs.
D. Wiping from front to back after urination helps prevent the spread of bacteria from the anal area to the urethra, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Crohn's disease exacerbation often leads to malnutrition due to decreased oral intake, malabsorption, and increased nutrient losses through diarrhea. Addressing imbalanced nutrition is crucial to replenish depleted nutrient stores, support healing, and prevent further complications.
A. While fluid overload can be a concern in certain situations, such as when administering intravenous fluids or in clients with renal impairment, it is not typically a primary concern in clients hospitalized with Crohn's disease exacerbation. Crohn's disease is more commonly associated with dehydration due to diarrhea and malabsorption rather than fluid overload.
B. In the acute phase of Crohn's disease exacerbation, addressing immediate physiological needs and stabilizing the client's condition typically take precedence over psychosocial concerns.
D. Social isolation can be a concern for clients with chronic illnesses, including Crohn's disease, as it may impact their quality of life and emotional well-being. However, in the acute phase of exacerbation, addressing physiological needs and stabilizing the client's condition typically takes precedence over psychosocial concerns such as social isolation.
Correct Answer is D
Explanation
D. Anuria refers to the absence of urine production, which can occur due to urinary tract obstruction, severe dehydration, or renal failure. In the context of a client attempting to pass a kidney stone, anuria would be a concerning sign indicating potential urinary tract obstruction requiring urgent medical attention.
A. Renal colic refers to severe flank pain caused by the passage of a kidney stone through the urinary tract. While renal colic is a common symptom of kidney stones and can cause significant discomfort, it does not necessarily indicate an emergency situation unless it is associated with complications such as obstructive uropathy or infection.
B. Hematuria, or blood in the urine, is a common finding in individuals with kidney stones. It occurs due to irritation or injury to the urinary tract as the stone passes through.
C. Nausea is a common symptom experienced by individuals with kidney stones, particularly if there is associated pain or discomfort. While nausea can be distressing, it does not typically indicate an emergency situation unless it is severe and persistent, leading to dehydration or other complications.
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