A clinic nurse has provided instructions to the mother of a 6-year-old female with a urinary tract infection. Which statements by the mother indicate understanding of home care? (Select all that apply)
Explanation & Rationale
Choice A reason: High-fiber foods prevent constipation, which can exacerbate urinary tract infections by causing urinary stasis. A diet rich in fiber promotes regular bowel movements, reducing pressure on the bladder and urethra, which helps flush bacteria from the urinary tract, making this a correct and essential home care strategy. Choice B reason: Encouraging frequent urination (every few hours) helps flush bacteria from the urinary tract, reducing the risk of bacterial proliferation in the bladder. This practice prevents urine stasis, a key factor in recurrent urinary tract infections, making it an appropriate and effective home care instruction for the child. Choice C reason: Daily bubble baths are not recommended for children with urinary tract infections, as they can irritate the urethra and introduce bacteria, worsening the infection. Plain water baths are preferred to maintain hygiene without causing irritation, making this statement incorrect for proper home care management. Choice D reason: Increasing fluid intake promotes urine production, which helps flush bacteria from the urinary tract, reducing infection severity and recurrence risk. Adequate hydration dilutes urine, decreasing irritation and bacterial growth, making this a critical home care instruction for managing urinary tract infections effectively in children. Choice E reason: Wiping back to front can introduce fecal bacteria into the urethra, increasing the risk of urinary tract infections, especially in females. Proper hygiene involves wiping front to back to prevent bacterial transfer, making this statement incorrect and harmful for home care management of the condition.