Author Question: A nurse is conducting a class for preschool parents concerning ways to prevent illness in children. ... (Read 79 times)

mpobi80 · **on:** Jul 23, 2018

A nurse is conducting a class for preschool parents concerning ways to prevent illness in children. A parent asks why little girls are at greater risk for urinary tract infections than little boys. Which response by the nurse is most accurate?

1. Little boys have short urethras, but they also have testicles that block bacteria from the rectum.
2. Most little girls don't wipe themselves as well as little boys do after using the bathroom.
3. Little girls have short urethras, which makes it easier for bacteria to move into the bladder.
4. Testosterone in boys helps prevent urinary tract infections.

Question 2

A school nurse is conducting a health class for fifth-grade girls. The nurse instructs the girls that when toileting, they must remember to wipe from front to back. Which statement by a student indicates the need for further education?

1. Girls need to wipe from front to back to avoid urinary tract infections.
2. Girls must be careful about the way they wipe to prevent infection from bacteria present near the rectum.
3. Girls must be careful how they wipe because the connection from the outside to the bladder is very short.
4. Girls need to wipe front to back only after a bowel movement.

akpaschal · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Little boys do have testicles that help to block bacteria from traveling from the rectum to the urethra, but they have long urethras, not short ones.
Rationale 2: Cleanliness does affect the chance of developing a UTI, but girls tend to wipe themselves better than boys do.
Rationale 3: Girls have more frequent UTIs because their urethras are shorter than boys', making it easier for bacteria to move into the bladder. Their rectums are also in closer proximity to the urethra than are boys'.
Rationale 4: Testosterone does not help to prevent UTIs.
Global Rationale: Girls have more frequent UTIs because their urethras are shorter than boys', making it easier for bacteria to move into the bladder. Their rectums are also in closer proximity to the urethra than are boys'.
Little boys do have testicles that help to block bacteria from traveling from the rectum to the urethra, but they have long urethras, not short ones. There is no evidence that boys wipe themselves better than do girls. Testosterone does not help prevent UTIs.

Answer to Question 2

Correct Answer: 4
Rationale 1: This is a correct statement. Girls are more prone than boys to urinary tract infections. Wiping from front to back moves the bacteria away from the urethra.
Rationale 2: This is a correct statement. Girls need to avoid contaminating the urethral region with bacteria present in the rectal area.
Rationale 3: This is a correct statement. Girls have shorter urethras than boys, which allows easier access for the bacteria to move into the bladder.
Rationale 4: This is an incorrect statement. Girls should wipe front to back at all times because bacteria are present in the rectal area at all times.
Global Rationale: The male and female urinary tracts are identical, with the exception of the urethra, which is shorter in the female and located closer to the anus. This anatomic difference results in the periurethral region of the female being populated by bacteria that are normally restricted to the gastrointestinal (GI) tract, and could cause UTIs. These anatomic differences result in a higher risk of UTI in females.