An adolescent visits the school nurse to ask why she is getting ...

[RYAN BANYAN]

An adolescent visits the school nurse to ask why she is getting frequent urinary tract infections. Which questions should the nurse ask the client during this visit?
 
  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?

Question 2

A client is admitted with possible renal calculi. The client asks, Are there are any tests that can be performed to show the doctor if there are any kidney stones? Which response by the nurse is the most appropriate?
 
  1. The intravenous pyelogram will allow the healthcare provider to visualize kidney stones.
  2. A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones.
  3. A routine urinalysis will allow the healthcare provider to visualize kidney stones.
  4. A kidney biopsy will allow the healthcare provider to visualize kidney stones.

[brittanywood]

Answer to Question 1

Correct Answer: 3, 4
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. Taking frequent bubble baths has also been found to lead to urinary tract infections in females. Eating foods high in acidity, drinking large amounts of milk, and family members with urinary tract infections does not increase the risk for urinary tract infections.

Answer to Question 2

Correct Answer: 1
The intravenous pyelogram is a radiologic examination that allows visualization of renal calculi in the kidneys, ureters, and bladder. The other exams listed would not aid in visualization of renal calculi.