A preadolescent student asks the school nurse to explain why the student keeps getting urinary tract infections. The school nurse determines that the diagnosis of Deficient Knowledge is appropriate based upon the student's response to which question?
A) "When was your last UTI?"
B) "How often do you shower?"
C) "Do you have a family history of urinary problems?"
D) "In what direction do you wipe after a bowel movement?"
Answer: D
The most important teaching to provide females is always to wipe the peri-anal/genital area from front to back. E-coli are the most common micro-organisms responsible for urinary tract infections and can easily be dragged into the urethral orifice by wiping from the anus to the urethra after defecation. Females do have a shorter urethra compared with males and are more susceptible to urinary tract infections for this reason. Personal hygiene practices, such as cleansing after a bowel movement, are a priority teaching instruction to include for this client. Urinary tract infections are not associated with families or genetics.
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