A female teenager has experienced three uncomplicated urinary tract infections in the last 3 months. Knowing the anatomical location of the urethra, the nurse should educate this teenager about:
A) Proper handwashing to decrease amount of Pseudomonas growing on the hands
B) Wiping from front to back to prevent Escherichia coli contamination of the urethra
C) Wearing gloves when wiping perineum after defecation to prevent Staphylococcus aureus infection
D) Washing hands prior to inserting a tampon to minimize the risk of group B Streptococcus
Ans: B
Feedback:
Most commonly, urinary tract infections (UTIs) are caused by Escherichia coli that enter through the urethra. Escherichia coli are abundant in fecal matter. Other uropathic pathogens include Staphylococcus saprophyticus in uncomplicated UTIs and both non–E. coli gram-negative rods (Proteus mirabilis, Klebsiella pneumoniae, Pseudomonas) and gram-positive cocci (Staphylococcus aureus, group B Streptococcus) in complicated UTIs.
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