A nurse is providing teaching about toilet training to the caregiver of a 2-year-old client who has a history of vesicoureteral reflux. Which of the following recommendations should the nurse make to help the caregiver decrease the risk of UTI development? (Select All that Apply.)

A. Wipe the genitals from back to front: Wiping from back to front increases the risk of introducing bacteria from the anal area to the urethra, which can contribute to urinary tract infections (UTIs). Caregivers should be instructed to wipe from front to back. B. Use nylon underwear: Nylon or synthetic underwear can trap moisture and create an environment conducive to bacterial growth, increasing UTI risk. Cotton underwear is recommended for better ventilation and moisture absorption. C. Encourage frequent trips to the toilet: Encouraging regular urination helps prevent urine stasis in the bladder, reducing the risk of bacterial growth and UTIs. Scheduled toilet trips are particularly important for children with vesicoureteral reflux. D. Avoid bubble baths: Bubble baths and harsh soaps can irritate the urethra and perineal area, increasing susceptibility to UTIs. Plain water or mild soap is recommended during bathing. E. Limit fluid intake: Limiting fluids can concentrate urine and reduce the frequency of urination, both of which increase the risk of UTIs. Adequate hydration is essential to flush bacteria from the urinary tract.