A public health nurse is conducting research to reduce the occurrence of UTIs among the public. Which of the following patients would have the highest risk for developing a urinary tract infec-tion?
a. A 68-year-old woman with stress incontinence
b. A 16-year-old girl who just became sexually active
c. A 56-year-old male with frequents complaints of lower abdominal pain
d. An 82-year-old woman living in a skilled care nursing facility
D
Those with the highest risk of developing a UTI are elderly women in nursing homes. Of these patients, 30% to 50% have bacteremia at any given time.
A 68-year-old woman with stress incontinence is at higher risk, because her bladder muscle may be weak, but this does not predispose her to UTIs.
Among sexually active young women, 25% to 35% develop at least one UTI a year.
UTIs occur less often in males than in females. Nothing indicates that this patient's lower abdo-minal pain is associated with a UTI.
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After completing a community assessment the nurse is preparing a plan to address behavioral determinants of health. Which topics should the nurse include in this plan? (Select all that apply.)
1. Use of park and bicycle trails. 2. Intake of fresh fruits and vegetables. 3. Ease of obtaining marijuana and cocaine. 4. Hours that the community health clinic is open. 5. Use of protective gear when bicycling.
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A client tells the nurse that one result of his chronic stress is that he has considerable fatigue. He has
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When preparing a woman with suspected vulvar cancer for a biopsy, the nurse expects that the lesion would most likely be located at which area?
A) Labia majora B) Labia minora C) Clitoris D) Prepuce