A 19-year-old male client complains of burning while voiding. The health care practitioner diagnoses urethritis and explains that it is caused by a pathogen that infects the urethra
The client tells the nurse that his girlfriend had the same problem last week. The nurse knows that the most likely cause of the urethritis in this client is:
1. unrelated to his girlfriend's condition.
2. a descending bladder infection.
3. related to poor hygiene.
4. a sexually transmitted disease.
Correct Answer: 4
Rationale 1: The fact that the client reports that his girlfriend had similar symptoms last week would indicate that the two conditions may be related.
Rationale 2: This client's symptoms appear to be confined to the urethra. Most UTIs ascend from the urethra to the bladder, and do not descend from the bladder to the urethra.
Rationale 3: There is nothing to indicate that poor hygiene is related to this client's condition.
Rationale 4: The fact that the client reports that his girlfriend had similar symptoms last week is indicative of the possibility of a sexually transmitted disease.
Global Rationale: The fact that the client reports that his girlfriend had similar symptoms last week is indicative of the possibility of a sexually transmitted disease. This client's symptoms appear to be confined to the urethra. Most UTIs ascend from the urethra to the bladder, and do not descend from the bladder to the urethra. There is nothing to indicate that poor hygiene is related to this client's condition.
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