Medical Surgical UTI & Pyelonephritis #8

Question

The clinic nurse provides instruction to a female client with recurrent cystitis and includes which information for health promotion activities?

Answers

  1. Wear cotton underpants.
    • Rationale:

      This answer is correct because cotton underpants allow adequate ventilation of the perineum which decreases the risk for bacterial growth which increases the likelihood of cystitis/UTI.

  2. Cleanse from the back to the front.
    • Rationale:

      This answer is not correct because cleansing should be front to back, not back to front to avoid contamination with feces and risk of e-coli infection.

  3. Douche regularly with acetic acid solution.
    • Rationale:

      This answer is not correct because clients are taught to avoid douches as this activity may change the natural pH of the peri-area thus increasing the likelihood of cystitis and UTI.

  4. Soak in perfumed tubs daily for optimal cleansing and odor control.
    • Rationale:

      This answer is not correct because perfumed bath products are known to cause irritation and should be avoided for clients who have recurrent cystitis/UTIs.

Overview

Cystitis is the medical term for bladder inflammation. Urinary tract infections (UTIs) are often the cause of cystitis.

Explanation

Learning Outcomes

Urinary tract infections (UTIs) are often the cause of cystitis. It is important for the nurse to provide the client with accurate information to decrease the likelihood of recurrent cystitis. Health promotion activities that are supported by evidence to decrease the occurrence of cystitis include wearing cotton underpants, avoiding irritating perfumed bath products, avoiding douches, and cleansing the perineum from front to back after urination and bowel movements.

Test Taking Tip

Consider evidence-based practice guidelines for the prevention of cystitis/UTI to answer this question correctly.

Video Rationale