The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which statement should the nurse include in the presentation?

Correct Answer: C

Rationale: The correct answer is C because women typically require a shorter course of antibiotic therapy to manage urinary tract infections (UTIs) compared to men due to differences in anatomy and physiology. Women have a shorter urethra, making it easier for bacteria to travel up to the bladder, leading to a higher incidence of UTIs. Men are less likely to experience descending UTIs compared to women. Straight catheterization is not the only way to evaluate for UTIs as other methods like urinalysis and urine culture can also be used. The rate of UTIs is higher in women than men, so the statement that the rate of UTIs is similar between men and women (choice D) is incorrect.

Correct Answer: A

Rationale: The correct answer is A: Clean the infected areas with soap and water. This is because impetigo is a bacterial skin infection that requires good hygiene to prevent spreading. Cleaning the infected areas with soap and water helps to remove bacteria and crusty discharge. Choice B is incorrect because alcohol-based cleansers can be too harsh and irritating to the skin, further aggravating the lesions. Choice C is also incorrect as antibiotic ointments are commonly used to treat impetigo by killing the bacteria causing the infection. Choice D is incorrect because using petroleum jelly may trap bacteria and moisture, worsening the infection. It is important to keep the affected areas clean and dry to promote healing.

Correct Answer: C

Rationale: The correct answer is C because using bacitracin-neomycin-polymyxin on minor abrasions can actually worsen contact dermatitis due to the risk of allergic reactions and delayed wound healing. The other choices are appropriate for managing contact dermatitis symptoms: A) corticosteroid cream helps reduce inflammation and itching, B) oilated oatmeal can soothe and moisturize the skin, and D) diphenhydramine can provide relief from itching. Overall, choice C is incorrect as it can exacerbate the condition, making it crucial for patient teaching to avoid such products for minor abrasions in the setting of contact dermatitis.

Correct Answer: B

Rationale: The correct answer is B (38-year-old with a 7-mm nevus on the face that has recently become darker) because changes in the color, shape, or size of a mole could indicate melanoma, a type of skin cancer. This patient's symptoms require immediate evaluation. Choice A (50-year-old with skin redness after a chemical peel) is likely post-inflammatory erythema, which is a common side effect and not an urgent issue. Choice C (62-year-old with papules in axillary areas) is likely skin tags, which are benign and not urgent. Choice D (42-year-old with itching after using topical fluorouracil) is a common side effect and can usually wait for a regular appointment.

Correct Answer: A

Rationale: The correct answer is A: Lift the patient's leg to a 60-degree angle from the bed. This is because the straight-leg raising test is used to assess for sciatic nerve irritation. Lifting the leg to a 60-degree angle from the bed helps to stretch the sciatic nerve and can elicit pain if there is nerve compression. Placing the patient in the prone position (B) or asking the patient to dangle both legs (C) would not provide the proper positioning for this test. Instructing the patient to elevate the legs and tense the abdominal muscles (D) is not the correct technique for performing the straight-leg raising test.