The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection (UTI). The client is prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ)
Which client statement indicates that teaching has been effective?
A) "I will return within 10 days for a follow-up urine culture."
B) "I will practices Kegel exercises on daily basis."
C) "I will increase my intake of fluids, especially citrus juice."
D) "I will only wear 100% cotton underwear."
Answer: A
It is essential to validate eradication of infection with a follow-up culture that is negative. Doing Kegel exercises and wearing cotton underwear are both useful in prevention of future urinary tract infections, but they are not the best evaluation of effectiveness of teaching. Citrus juices will not increase acidity of urine and therefore are not recommended when a client has a UTI.
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