Question

Donna is a 29-year-old woman who presents with a 3-day history of painful

urination and urgency. She is otherwise healthy and is taking a combined oral
contraceptive. In counseling Donna about risk factors for urinary tract infections,
the NP mentions'all of the following except:
Recent antimicrobial use.
Emptying the bladder after intercourse.
New sexual partner.
Spermicide use.

Answer 1

Donna is advised on risk factors for UTIs such as sexual activity, spermicide use, and recent antimicrobial use, but emptying the bladder after intercourse is not mentioned as a risk factor, as it helps in preventing UTIs.

Step-by-step explanation:

Donna, a 29-year-old woman with symptoms of a urinary tract infection (UTI), receives counseling on risk factors for developing UTIs. Among the factors discussed are sexual activity, particularly with a new partner or when using spermicides or diaphragms as contraceptives.

Other factors include recent antimicrobial use which may disrupt normal vaginal flora leading to overgrowth of pathogenic bacteria, and poor hygiene practices which can cause fecal contamination of the urethra. However, the NP does not mention emptying the bladder after intercourse as a risk factor; in fact, this is recommended to help prevent UTIs by flushing out bacteria that may have been introduced during intercourse.