A teenage girl visits the school nurse to ask why she is getting frequent urinary tract infections. Which of the following questions should the nurse ask the client during this visit? Standard Text: Select all that apply
1. "Have you been eating foods that have high acidity?"
2. "Do you drink a lot of milk?"
3. "Do you take bubble baths frequently?"
4. "What direction do you wipe after a bowel movement?"
5. "Do you have a family history of urinary tract infections?"
3,4
Rationale 1: "Have you been eating foods that have high acidity?" is not an appropriate response since foods high in acidity do not cause urinary tract infections.
Rationale 2: "Do you drink a lot of milk?" is not an appropriate response since the intake of milk does not cause urinary tract infections.
Rationale 3: "Do you take bubble baths frequently?" is an appropriate response. Frequent bubble baths have been found to cause urinary tract infections due to irritation and introduction of bacteria.
Rationale 4: "What direction do you wipe after a bowel movement?" is an appropriate response. Females should wipe the peri-anal/genital area from front to back. E-coli is the most common microorganism 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 to males and are more susceptible to urinary tract infections for this reason.
Rationale 5: "Do you have a family history of urinary tract infections?" is not an appropriate response. A family history of urinary tract infections does increase an individual's risk for developing urinary tract infections.
You might also like to view...
An older client with diabetes is admitted with a heavily draining leg wound. The client's white blood cell count is 38,000/mm3 but the client is afebrile. What action does the nurse take first?
a. Administer acetaminophen (Tylenol). b. Educate the client on amputation. c. Place the client on contact isolation. d. Refer the client to the wound care nurse.
The client, who has cataracts in both eyes, asks why surgery is being done first on only the eye with the poorer vision. What is the nurse's best answer?
A. "Insurance reimbursement dictates the timing of the surgeries." B. "The eye with the poorer vision is at greatest risk for permanent damage if surgery is delayed." C. "If the eye with the best vision has surgery first, the intraocular pressure in the poorer eye could increase to the extent that permanent damage results." D. "The eye with the poorer vision undergoes surgery first so that if a complication arises in that eye, you will still have some vision in the better eye."
The brother of a client with bipolar disorder states that he believes his brother's disorder is a result of the unhealthy interactions he had with his parents and peers while growing up. What are outside elements that influence a person's behavior called?
A) Attribution factors B) Assumption factors C) Dispositional factors D) Situational factors
The nurse is assisting with teaching a patient with newly diagnosed type 1 diabetes. The patient asks what caused the fruity odor that was present at diagnosis. How should the nurse respond?
a. "The excess sugar in the blood is metabolized to fructose and excreted via the lungs." b. "In the absence of available sugar, the body breaks down fat into ketones, which have a fruity odor." c. "The proteins in the blood are metabolized to a substance that has a fruity odor." d. "Excess sugar is excreted in the urine, which causes the fruity odor."