A 16-year-old pregnant adolescent has been treated for acute cystitis. To determine the effectiveness of therapy with nitrofurantoin (Macrobid), the nurse practitioner instructs the adolescent to return for a urine culture:
1-2 weeks after initiating the nitrofurantoin (Macrobid).
1 week after completion of nitrofurantoin (Macrobid) therapy.
after 10 days of nitrofurantoin initiation (Macrobid).
2 weeks after completion of nitrofurantoin (Macrobid) therapy.
The Correct Answer is B
Rationale:
A. Testing 1–2 weeks after starting therapy is premature, as the full course of antibiotics has not yet been completed, and results may not accurately reflect treatment effectiveness.
B. One week after completion of nitrofurantoin therapy is recommended to assess the resolution of bacteriuria and confirm the effectiveness of treatment for acute cystitis in pregnant adolescents. This timing allows any remaining bacteria to be detected while minimizing false negatives.
C. Testing after 10 days of therapy initiation may still be during treatment, which is too early to confirm eradication.
D. Waiting 2 weeks after completion of therapy is not necessary; 1 week post-treatment is sufficient to evaluate effectiveness and ensure prompt follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Isolation from daycare is generally recommended while the child is symptomatic to prevent transmission, but a fixed 7-day period is not always necessary; symptom resolution varies.
B. Antipyretics should be given as needed for fever or discomfort, not routinely every 4 hours for multiple days.
C. Acute bronchiolitis typically presents with symptoms that peak within 1–3 days, with gradual improvement. Most children experience complete resolution within 10–14 days, which is important for caregivers to understand to prevent unnecessary concern or overuse of medications.
D. Antibiotics are not indicated for viral bronchiolitis, even if nasal discharge becomes purulent, as the infection is viral and antibiotics are ineffective.
Correct Answer is C
Explanation
Rationale:
A. Persistent worry about future events is more characteristic of generalized anxiety disorder rather than depression.
B. Unrealistic worry about harm to family is also suggestive of anxiety disorders in children.
C. Loss of pleasure in almost all activities (anhedonia) is a core symptom of depression in children and adolescents, alongside other signs such as sleep disturbances, poor school performance, and decreased concentration.
D. Hyperventilation is typically a physical manifestation of anxiety or panic attacks, not depression.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.