NCLEX-RN

Category - Health Promotion

A nurse is giving discharge instructions to a sexually-active female client with recurrent urinary tract infections. Which of the following statements made by the client indicates the need for more teaching?
  1. “Wearing cotton underwear can help prevent bacterial growth.”
  2. “Drinking at least 8 glasses of water a day can help flush the bacteria from the urinary tract.”
  3. “I should avoid urinating right after sexual intercourse.”
  4. “I need to use barrier contraceptives during the entire duration of my antibiotic therapy.”
Explanation
Answer: C - Urinating after sexual intercourse can remove the bacteria that can travel through the urethra and into the bladder. Women on oral contraceptives can use barrier methods of contraception during antibiotic therapy. Antibiotics may reduce the effectiveness of oral contraceptives. Wearing of cotton underwear and increasing fluid intake can prevent recurrent urinary tract infections.
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