A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?
Complete blood count
Urinalysis
Abdominal ultrasound
Bladder scan
The Correct Answer is B
A complete blood count (CBC) may be ordered later if further infection or sepsis is suspected, but it is not the first diagnostic test.
B. Urinalysis is the most appropriate initial test to diagnose a urinary tract infection (UTI), which is common in children with symptoms such as dysuria and irritability.
C. An abdominal ultrasound is more appropriate if there are concerns about abdominal pathology, which is not suggested by the symptoms.
D. A bladder scan is not the first diagnostic step and would be used to assess post-void residual urine if necessary.
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Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.
Correct Answer is B
Explanation
A. Jock itch is a fungal infection of the groin, not the feet.
B. Tinea pedis is the medical term for athlete's foot, a fungal infection of the feet.
C. Ringworm is a fungal infection that can affect various parts of the body, not specifically the feet.
D. Poison sumac is a plant-based skin irritation caused by contact with the plant, not a fungal infection.
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