Author Question: The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection ... (Read 115 times)

fagboi · **on:** Jun 25, 2018

The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection (UTI). The client is prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ).

Which client statement indicates that teaching has been effective?
A) I will return within 10 days for a follow-up urine culture.
B) I will practices Kegel exercises on daily basis.
C) I will increase my intake of fluids, especially citrus juice.
D) I will only wear 100 cotton underwear.

Question 2

The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which should the nurse include in the presentation?

A) Men are most likely to experience descending urinary tract infections.
B) Straight catheterization is the only way to evaluate for the presence of a urinary tract infection.
C) Women require a shorter course of antibiotic therapy to manage a urinary tract infection than men.
D) The rate of urinary tract infections is similar between men and women.

debra928 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

It is essential to validate eradication of infection with a follow-up culture that is negative. Doing Kegel exercises and wearing cotton underwear are both useful in prevention of future urinary tract infections, but they are not the best evaluation of effectiveness of teaching. Citrus juices will not increase acidity of urine and therefore are not recommended when a client has a UTI.

Answer to Question 2

Answer: C

Men will usually be prescribed a longer course of therapy to manage a urinary tract infection. They have a longer urethra. When they are infected with an infection to the system, it is typically more complicated than in a woman. Descending infections are less common than ascending infections of the urinary tract. A clean-catch midstream specimen is a reliable means to obtain a urine specimen to check for the presence of infection. Women have a higher rate of urinary tract infection than men.