To prevent urinary tract infection, the nurse must teach the patient the following.

Select all that apply.

Hold the urge to urinate as much as possible.

Empty bladder before and after sexual intercourse.

Take antibiotics as ordered.

Female patients should wipe from front to back.

Drink 8 to 10 glasses of water a day.

Answer and Explanation

Correct Answer : B,C,D,E

These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.

Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection. It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.

Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex. Sexual activity is one of the common causes of UTI, especially in women.

Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one. Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.

Choice D is correct because female patients should wipe from front to back after using the bathroom. This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.

Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract. Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.

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Correct Answer is A

Explanation

Lisinopril belongs to the class of drugs calledangiotensin-converting enzyme (ACE) inhibitors.ACE inhibitors work by blocking the enzyme that converts angiotensin I to angiotensin II, a hormone that causes blood vessels to narrow and raise blood pressure.By inhibiting this enzyme, ACE inhibitors relax and widen the blood vessels, lower blood pressure, and improve blood flow to the heart and kidneys.

Choice B.Candesartan is wrong because it belongs to the class of drugs calledangiotensin II receptor blockers (ARBs).ARBs work by blocking the action of angiotensin II on its receptors, preventing it from causing blood vessel constriction and high blood pressure.ARBs are similar to ACE inhibitors in their effects, but they do not affect the enzyme or the level of bradykinin, a peptide that can cause cough and angioedema as side effects of ACE inhibitors.

Choice C.Metoprolol is wrong because it belongs to the class of drugs calledbeta blockers.Beta blockers work by blocking the effects of adrenaline and other hormones that stimulate the heart and blood vessels, causing them to beat slower and with less force.Beta blockers lower blood pressure and reduce the workload on the heart.

Choice D.Amlodipine is wrong because it belongs to the class of drugs calledcalcium channel blockers.Calcium channel blockers work by blocking the entry of calcium into the muscle cells of the heart and blood vessels, causing them to relax and dilate.Calcium channel blockers lower blood pressure and improve blood flow to the heart.

Normal ranges for blood pressure vary depending on age, gender, and other factors, but generally, a systolic blood pressure (the top number) of less than 120 mmHg and a diastolic blood pressure (the bottom number) of less than 80 mmHg are considered normal for adults.A blood pressure of 130/80 mmHg or higher is considered high and may require treatment with medication.

A. Increase intake of sodium. B. Check pulse rate for 30 seconds and multiply result by 2. C. Take with food if nausea occurs. D. Contact the provider if heart rate is less than 60/min.

Correct Answer is D

Explanation

This is because digoxin can cause bradycardia (slow heart rate) as a side effect, which can be dangerous and require dose adjustment or discontinuation of the medication.Digoxin helps make the heart beat stronger and with a more regular rhythm by inhibiting sodium-potassium ATPase in cardiac cells.It is used to treat heart failure and atrial fibrillation.

Choice A is wrong because increasing sodium intake can worsen fluid retention and exacerbate heart failure symptoms.Patients with heart failure should follow a low-sodium diet to reduce the workload on the heart.

Choice B is wrong because checking pulse rate for 30 seconds and multiplying result by 2 is not accurate enough to monitor the effects of digoxin.

Patients taking digoxin should check their pulse rate for one full minute before taking each dose and record it daily.If the pulse rate is too fast or too slow, they should contact their provider.

Choice C is wrong because taking digoxin with food may reduce its absorption and effectiveness.Digoxin should be taken on an empty stomach, at least one hour before or two hours after a meal.If nausea occurs, it may be a sign of digoxin toxicity and should be reported to the provider.

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To prevent urinary tract infection, the nurse must teach the patient the following. Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following anti-hypertensive medication belongs to the ACE Inhibitors?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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To prevent urinary tract infection, the nurse must teach the patient the following.

Select all that apply.