The nurse is providing discharge teaching for a female client with a urinary tract infection who has been treated with a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ)
The nurse best evaluates that the teaching has been effective when the client: 1. Increases intake of fluids, especially citrus juice.
2. Practices Kegel exercises on daily basis.
3. Returns within 10 days for a follow-up urine culture.
4. States she will wear underwear made from cotton materials.
3. Returns within 10 days for a follow-up urine culture.
Rationale:
It is essential to validate eradication of infection with a follow-up culture that is negative. Citrus juices will not increase acidity of urine and therefore is not recommended when a client has a UTI. 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.
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