What recommendation should the nurse make to prevent urinary tract infections (UTIs) in young girls?
a. Avoid public toilet facilities.
b. Limit long baths as much as possible.
c. Cleanse the perineum with water after voiding.
d. Ensure clear liquid intake of 2 L/day.
ANS: D
Adequate fluid intake minimizes urinary stasis. The recommended fluid intake is 50 ml/kg or 100 ml/lb per day. The average 5- to 6-year-old weighs approximately 18 kg (40 lb), so she should drink 2 L/day of fluid. There is no evidence that using public toilet facilities increases UTIs. Long baths are not associated with increased UTIs. Proper hand washing and perineal cleansing are important, but no evidence exists that these decrease UTIs in young girls.
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