The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?

Use a feminine hygiene spray.

Limit cranberry juice intake.

Wear cotton underwear.

Take daily tub baths.

Answer and Explanation

The Correct Answer is C

Choice A reason: Using a feminine hygiene spray can irritate the urethra and worsen the symptoms of cystitis. It is generally recommended to avoid products that contain chemicals and fragrances, as they can disrupt the natural balance of bacteria and lead to further infections.

Choice B reason: Limiting cranberry juice intake is not a typical recommendation for clients with cystitis. In fact, cranberry juice is often suggested as it contains compounds that can help prevent bacteria from adhering to the bladder wall, potentially reducing the risk of urinary tract infections.

Choice C reason: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection, making it an important measure in managing and preventing cystitis.

Choice D reason: Taking daily tub baths can increase the risk of introducing bacteria into the urinary tract, especially if the water is not clean. It is generally advised to take showers instead of tub baths to minimize the risk of urinary tract infections.

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Correct Answer is C

Explanation

Choice A reason: Respiratory acidosis is characterized by a low pH and an elevated PaCO2 due to hypoventilation, which results in CO2 retention. The ABG results in this case show a normal PaCO2, making this option incorrect.

Choice B reason: Metabolic acidosis is characterized by a low pH and a low HCO3 due to an accumulation of acids or loss of bicarbonate. The ABG results show a high pH and a high HCO3, which are opposite to the findings of metabolic acidosis.

Choice C reason: Metabolic alkalosis is characterized by a high pH and an elevated HCO3. This condition can result from excessive loss of stomach acid due to vomiting or the use of diuretics. The ABG results show a pH of 7.50 and HCO3 of 33 me/L, both indicative of metabolic alkalosis.

Choice D reason: Respiratory alkalosis is characterized by a high pH and a low PaCO2 due to hyperventilation, which leads to CO2 loss. The ABG results show a normal PaCO2, ruling out respiratory alkalosis as the correct diagnosis.

A. The client gained 5 pounds (2.27 kg) over the last six months. B. A family member recently contracted viral influenza. C. There is a known family history of lung disease. D. The client cleaned house with cleaning supplies.

Correct Answer is D

Explanation

Choice A reason: Gaining weight over six months can affect overall health and potentially exacerbate asthma symptoms by increasing the workload on the respiratory system. However, it is not an immediate trigger for asthma exacerbation.

Choice B reason: A family member contracting viral influenza poses a risk of the client catching the virus, which can exacerbate asthma. However, it is not a direct trigger of the asthma exacerbation unless the client actually contracts the virus.

Choice C reason: A family history of lung disease can indicate a genetic predisposition to respiratory issues, but it is not an immediate trigger for an asthma exacerbation.

Choice D reason: Cleaning with household supplies is a significant trigger for asthma exacerbation. Many cleaning products contain strong chemicals that can irritate the airways and provoke an asthma attack. This is the most immediate and direct cause of the client's asthma complications among the given options.

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The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?

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Correct Answer is C

Explanation

An adult client has been admitted to the hospital with asthma exacerbation. Which trigger should the nurse identify as being the most significant cause of this client's asthma complications?

Correct Answer is D

Explanation

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