A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoureteral reflux. Which statement by her mother indicates a need for further teaching?

Question

Options

• A"I have taught her to wipe from front to back after urinating."
• B"I make sure she drinks plenty of fluids every day."
• C"She enjoys wearing nylon panties, but I make her change them everyday."
• D"She tries to empty her bladder completely after she urinates, like I told her."

• A
  3% (1)
• B
  8% (3)
• C
  75% (27)
• D
  14% (5)

Explanation

(A) Wiping from front to back is wiping from an area of lesser contamination (urethra) to an area of greater contamination (rectum). (B) Generous fluid intake reduces the concentration of urine. (C) Cotton is a natural, absorbent fabric. Nylon often predisposes the client to urinary tract infections. Dark, warm, moist areas are excellent media for bacterial growth. (D) With vesicoureteral reflux, urine refluxes into the ureter(s) during voiding and then returns to the bladder (residual), which becomes a source for future infection.

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