An 18 year old patient has a complaint of painful urination, fever, chills, and back pain. This is her second urinary tract infection (UTI) within 5 months. How can the RN instruct the patient on prevention of another UTI?
What will be an ideal response
Escherichia coli are normal residents of the digestive tract and generally cause no problems there, but these bacteria account for 80% of all urinary tract infections. The nurse can instruct the patient on proper hygiene measures, including wiping from front to back following urination to avoid introduction of anal bacteria, reduction in sexual activity if sexually active, and increased fluid intake to increase flushing of the urethra. The nurse should also explain that sexually transmitted infections can also inflame the urinary tract, clogging some of its ducts.
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