A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years

Question

Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply. 1. Wear only nylon underwear for better air flow.
2. Teach the child to wipe from front to back.
3. Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
4. Encourage the child to drink additional fluids throughout the day.
5. Plan potty breaks every two hours throughout the day.

Answer 1

2,4,5
Rationale 1: The child should wear cotton underwear.
Rationale 2: This prevents bacteria from the rectum from being introduced into the urethra.
Rationale 3: Bubble baths should be avoided.
Rationale 4: Extra fluids will "wash" bacteria out of the bladder.
Rationale 5: Children get so involved in playing that they often hold their urine. Voiding every two hours will reduce the time for bacteria to grow in the bladder.
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