A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?
Explanation & Rationale
Preventing urinary tract infections involves understanding the anatomical proximity of the urethra to the rectum. Knowledge of hygiene practices and behavioral modifications must be applied to identify misconceptions that increase the risk of introducing fecal bacteria into the urinary tract. Choice A rationale . Wiping from back to front is dangerous because it transports E. coli and other fecal bacteria toward the urethral opening. This incorrect technique significantly increases the risk of infection. Correct hygiene requires wiping from front to back. Choice B rationale . Drinking 8 glasses of liquid, ideally water, promotes frequent urination and helps flush bacteria from the bladder. Normal fluid intake for adults is 2,000 to 3,000 mL daily. This statement indicates a correct understanding of UTI prevention. Choice C rationale . Emptying the bladder after intercourse helps expel any bacteria that may have entered the urethra during physical activity. This is a standard preventive measure for individuals with recurrent infections. The client's statement correctly reflects appropriate health teaching. Choice D rationale . Bubble baths contain fragrances and chemicals that can irritate the urethral meatus and disrupt the natural flora. Avoiding these irritants helps maintain the integrity of the urinary defenses. This statement indicates the client understands how to reduce risk.