A nurse is caring for a female client with recurrent urinary tract infection (UTI). What measure should the nurse employ with this client?
A) Instruct the client to take a bath with mild soap.
B) Tell the client to take vitamin D tablets daily.
C) Instruct the client to wipe the perineal area from back to front.
D) Instruct the client to void before and after intercourse.
D
Feedback:
The nurse should instruct the client to void before and after intercourse because sexual activity increases the risk of acquiring UTI. Voiding immediately before and after intercourse reduces this risk. The client should be encouraged to shower rather than take a bath to avoid pushing bacteria up the urinary tract. The client should be encouraged to take vitamin C tablets, not vitamin D tablets, to acidify the urine and prevent bacterial growth. Female clients should be instructed to wipe the perineal area from front to back to minimize contamination of the urinary meatus with microorganisms from the rectum or vaginal area.
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