The client, a teenage girl, asks the school nurse why she is ...

[altibaby]

The client, a teenage girl, asks the school nurse why she is getting frequent urinary tract infections.
 
  The nurse concludes that the nursing diagnosis for this client is knowledge deficit based on the client response to which of the following questions? 1. How often do you shower?
   2. Do you have a family history of urinary problems?
   3. Do you take bubble baths?
   4. In what direction do you wipe after a bowel movement?

Question 2

Which of the following is an example of a hypotonic intravenous solution?
 
  a. normal saline (NS) 0.9 c. sodium chloride 0.45
  b. Ringer's lactate d. dextrose 5 in saline 0.9

[Li Jun]

Answer to Question 1

4. In what direction do you wipe after a bowel movement?

Rationale:
The most important teaching to provide females is always to wipe the peri-anal/genital area from front to back. E-coli are the most common micro-organisms 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. Although sitting in a soapy bath may increase the risk for vaginal irritations, personal hygiene practices, such as cleansing after a bowel movement, is a priority teaching instruction to include for this client. Urinary tract infections are not associated with families or genetics.

Answer to Question 2

C
Sodium chloride 0.45 is considered a hypotonic solution. Normal saline 0.9 and Ringer's lactate are considered isotonic solutions. Dextrose 5 in normal saline 0.9 is considered a hypertonic solution.

[altibaby]

Thanks for the timely response, appreciate it

[olderstudent]

Gracias!