The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included?
1. Lower urinary tract infections rarely occur in women.
2. The most common causative organism of cystitis is E. coli.
3. Wiping from back to front after a BM will help prevent a UTI.
4. Back pain often develops with a lower urinary tract infection.
2
Rationale:
1. About 60% of women will experience an episode of cystitis during their lifetime.
2. Because E. coli is a common bacterium in the bowel, and the female urethra is short and close to the anus, cross-contamination of bowel bacteria into the female urinary tract is common.
3. Wiping from back to front increases the risk of UTIs because the E. coli of the bowel is being drawn towards the urethra. Women should be instructed always to wipe from front to back.
4. Low back or flank pain is a sign of pylonephritis, which is an upper urinary tract infection. Signs of a lower UTI include dysuria, urinary frequency, and urinary urgency.
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