A 5-year-old girl presents to the clinic with a urinary tract infection (UTI). After educating the family on preventing recurrent infections, what statement by the family indicates further teaching is needed?

"We will increase our child's fiber intake."

"We will teach our child to wipe from front to back."

"My child may need a follow-up to a specialist due to recurrent infections."

"No additional testing is required after the course of antibiotics are complete."

Answer and Explanation

The Correct Answer is D

A. Increasing fiber intake is beneficial for overall digestive health and can prevent constipation, which may help in reducing the risk of UTIs.

B. Wiping from front to back is crucial in preventing the spread of bacteria from the anal area to the urinary tract, reducing the risk of recurrent UTIs.

C. Follow-up with a specialist may be necessary if the child has recurrent UTIs, to rule out underlying issues such as vesicoureteral reflux.

D. No additional testing after antibiotics might be needed for a simple UTI, but in cases of recurrent UTIs, further testing is often required to ensure the infection has resolved and to investigate any underlying causes.

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Correct Answer is A

Explanation

A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.

B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.

C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.

D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.

A. Implement droplet precautions, B. Prepare the infant for surgical correction. C. Evaluate the infant's pain level using the FLACC scale. D. Monitor the infant's intake and output. E. Offer the infant small, frequent feedings of thickened liquids F. Plan to administer a plain water enema to the infant

Correct Answer is ["B","C","D"]

Explanation

A. Droplet precautions are typically used for infections transmitted through respiratory droplets, such as influenza or COVID-19. Since the symptoms described are more consistent with pyloric stenosis rather than an infectious disease, droplet precautions are not indicated.

B. The infant's symptoms are indicative of possible hypertrophic pyloric stenosis, a condition where the pylorus (the opening from the stomach to the small intestine) becomes narrowed, leading to forceful vomiting and dehydration. Surgical intervention, such as a pyloromyotomy, is often required to correct this condition.

C. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is used to assess pain in infants and young children who cannot verbalize their discomfort. Given the infant's fussiness and symptoms, evaluating pain is crucial to managing the infant's discomfort.

D. Monitoring intake and output is important in an infant with vomiting to assess for dehydration and ensure appropriate fluid balance. This is a key aspect of managing any vomiting-related condition and ensuring the infant receives adequate hydration.

E. In the case of hypertrophic pyloric stenosis, thickened liquids are not recommended. The main treatment is surgical, and feeding modifications alone will not address the underlying condition.

F. A plain water enema is not appropriate for this infant’s symptoms. Hypertrophic pyloric stenosis does not require an enema and may actually worsen the infant's condition.

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A 5-year-old girl presents to the clinic with a urinary tract infection (UTI). After educating the family on preventing recurrent infections, what statement by the family indicates further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

Correct Answer is A

Explanation

Correct Answer is ["B","C","D"]

Explanation

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