When the patient asks why he has so many urinary tract infections (UTIs), the nurse informs the patient that his recurrent UTIs most likely result from which causative factor?

a. Bacteria that colonize in the kidney
b. Viral infections generating debris in the bladder
c. Carelessness in handwashing
d. Spicy foods irritating the bladder wall


A
The urinary tract is very vulnerable to bacterial infection. In the high volume of blood that is fil-tered by the kidney, there are some bacteria that can colonize in the kidney, causing an infection. Also, bacteria can easily enter the urinary tract through the urethra, and then the infection may spread up into the kidneys. Viral infections do not generate bladder debris. Recurrent UTIs are not likely the result of poor hand hygiene. Spicy foods do not irritate the bladder wall or lead to UTIs.

Nursing

You might also like to view...

The nurse is reviewing the medical records of several patients who are receiving fluoroquinolone therapy. Each of the patients is also receiving corticosteroid therapy. Which patient would the nurse identify as being at greatest risk for tendonitis?

A) 34-year-old female B) 22-year-old male C) 45-year-old female D) 72-year-old male

Nursing

Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?

a. Postural hypotension b. Recurrent tachycardia c. Knee and hip joint pain d. Increased serum creatinine

Nursing

Which mood disorder does she most likely have?

A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been chain-smoking in the last 2 weeks), drinks four to six drinks a week, and smokes marijuana occasionally. On examination she is very loud and outspoken. Her physical examination is unremarkable. A) Major depressive episode B) Manic episode C) Dysthymic disorder

Nursing

What is most important for the nurse in planning care for multiproblem families?

A. Bring another nurse with him/her to assist. B. Keep goals concrete, realistic, and mutually desired. C. List all needs to be addressed in a systematic, organized fashion. D. Plan for longer than normal visits.

Nursing