Nokea
Which recommendations by the nurse are most effective in reducing bacterial growth in a female client's bladder? Select all that apply.
- A. Drink a large quantity of fluids.
- B. Change underclothing each day.
- C. Avoid the use of public restrooms.
- D. Use only white toilet tissue.
- E. Urinate after having sexual intercourse.
- F. Drink fluids that are highly acidic.
Correct Answer: A,E
Rationale: Drinking plenty of fluids promotes urine flow, flushing bacteria from the bladder, and urinating after intercourse helps remove bacteria introduced during sexual activity.
You may also like to solve these questions
When the nurse mistakenly inserts the catheter into the client's vagina rather than the urinary meatus, which action is best to take next?
- A. Wipe the catheter tip with an alcohol swab.
- B. Clean the catheter tip with povidone-iodine solution (Betadine).
- C. Discard the catheter and use another sterile one.
- D. Withdraw the catheter and insert it in the urethra.
Correct Answer: C
Rationale: Inserting the catheter into the vagina contaminates it, so a new sterile catheter must be used to prevent infection.
The client who has undergone an exploratory laparotomy and subsequent removal of a large intestinal tumor has a nasogastric tube (NGT) in place and an IV running at 150 mL/hr via an IV pump. Which data should be reported to the HCP?
- A. The pump keeps sounding an alarm indicating the high pressure has been reached.
- B. Intake is 1,800 mL, NGT output is 550 mL, and Foley output is 950 mL.
- C. On auscultation, crackles and rhonchi in all lung fields are noted.
- D. Client has negative pedal edema and an increasing level of consciousness.
Correct Answer: C
Rationale: Crackles and rhonchi suggest pulmonary edema, a critical complication possibly due to fluid overload, requiring immediate HCP notification. Pump alarms, intake/output, and edema status are less urgent unless associated with other critical findings.
Postoperatively, which assessment finding is most suggestive that the client is hemorrhaging?
- A. Acute flank pain
- B. Abdominal distention
- C. Flushed, warm skin
- D. Nausea and vomiting
Correct Answer: B
Rationale: Abdominal distention may indicate internal bleeding, a critical sign of hemorrhage post-nephrectomy.
When the client with an ileal conduit expresses concern about odor, which recommendation by the nurse is most effective?
- A. Place an aspirin tablet in the pouch.
- B. Use a deodorizing pouch spray.
- C. Change the pouch daily.
- D. Avoid acidic foods.
Correct Answer: B
Rationale: Using a deodorizing pouch spray effectively controls odor, addressing the client's concern.
Which nursing intervention is most helpful in assisting the client undergoing hemodialysis to cope with the client and the patient to the patient?
- A. Giving the client literature to read about renal failure
- B. Advising the client's spouse to cook the client's favorite dishes
- C. Keeping the client informed of the latest research findings
- D. Exploring with the client how this disorder has affected life
Correct Answer: D
Rationale: Exploring the impact of the disorder on the client's life fosters emotional coping and supports psychosocial adjustment.