Practice Quiz

CRNE Canadian Registered Nurse

Category - Wellness

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Farrah comes to the clinic complaining of burning sensation when urinating and frequent urge to urinate. She also feels pressure in the lower abdomen. A diagnosis of cystitis is made. Client teaching focusing on prevention of recurrent cystitis includes all of the following instructions EXCEPT:
  1. Increase your intake of cranberry juice.
  2. Wear cotton underpants.
  3. Sit on the toilet and then place yourself backwards, leaning against the wall.
  4. Urinate at least once every 5 hours.
Explanation
Answer: D - The client must be instructed to urinate at least once every 3 hours, not every 5 hours. Women who habitually avoid urination for a long period of time are more vulnerable to urinary tract infections. Cranberry juice increases acidity, preventing cystitis. Cotton underpants allow air to flow into the perineum, preventing moisture build-up. Sitting and placing backwards on the toilet encourages complete emptying of the bladder.
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