The parent of a child with a urinary tract infection is concerned ...

[torybrooks]

The parent of a child with a urinary tract infection is concerned that the child may develop a genetic kidney problem in the future. What information provided by the parent should the nurse use to determine the child's risk for a genetic kidney disorder?
 
  1. My mother had lots of cysts on her kidneys.
  2. I have a bladder infection at least once a year.
  3. The child's father has Parkinson disease.
  4. My father had kidney cancer.

Question 2

The nurse is reviewing risk factors for bladder infections with a female patient. Which patient statement indicates that teaching has been effective?
 
  1. The urinary meatus in females is closer to the bladder than in most males.
  2. The urinary meatus in females is farther from the anus than most males.
  3. The pH of the female urethra is more conducive to infection.
  4. Females urinate more frequently than males, increasing risk.

[rleezy04]

Answer to Question 1

Correct Answer: 1
When conducting a health assessment interview and physical assessment, it is important for the nurse to consider genetic influences on health. During the health assessment interview, ask about family members with health problems affecting kidney function, or of family members diagnosed with polycystic disease. A grandmother with polycystic kidney disease increases the grandchild's risk for having the disorder. A yearly bladder infection in a mother is not the most important indicator of a genetic kidney disorder. Parkinson disease is not associated with kidney disease. Kidney cancer is not highly associated with heredity.

Answer to Question 2

Correct Answer: 1
In females, the urethra is approximately 3 to 5 cm (1.5 inches) long, and the urinary meatus is anterior to the vaginal orifice. In males, the urethra is approximately 20 cm (8 inches) long. The shorter distance of the female urethra creates a mechanism by which more females than males contract bladder infections. The female urinary meatus is closer, not farther from the anus than in most males, also increasing risk for bladder infections. The pH of the female urethra is not more conducive to infection. Frequent urination decreases the risk of bladder infection.

[torybrooks]

Excellent

[peter]

TYSM