The nurse educator is preparing a teaching plan on preventing urinary tract infections for a group of female college students. What information will the nurse include in the plan?
Select all that apply.
a. Empty the bladder soon after sexual intercourse.
b. Urinate when you first feel the urge to void.
c. Wear appropriate underwear, including nylon or synthetic garments.
d. Wipe perineum area from back to front after voiding.
e. Use tampons instead of sanitary napkins while menstruating.
A, B, E
All age groups are at risk for urinary tract infections (UTIs). Prevention measures include increasing fluid intake, primarily water, and urinating when the urge to void is first felt. To reduce the risk of UTI, the nurse would teach the client the following:
• Urinating after having intercourse to flush away bacteria that might have entered the urethra is appropriate teaching for college students.
• Because bacteria can multiply in stagnant urine, women should urinate when they feel the urge to void, and not make a habit of postponing urination.
• Tampons are advised during the menstrual period rather than sanitary pads because they keep the urethral opening drier than a sanitary pad, thereby limiting bacterial overgrowth.
Cotton underwear is better than nylon or other synthetic fabrics, which are unbreathable fabrics. With such fabrics, moisture builds up, creating an ideal environment for microbial growth. Women should always wipe from front to back (cleaner to dirtier) after urination or defecation to help prevent transferring bacteria from the rectum and vagina to the urethra. Bacteria and other microorganisms grow well in a warm, moist environment.
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