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 C

Explanation

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

A. Administration of analgesic medication B. Preparation for surgical correction C. Assistance in doing a barium enema on infant D. Beginning thickened feedings with rice cereal

Correct Answer is B

Explanation

. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.

B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.

C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.

D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.

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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

A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

Correct Answer is C

Explanation

An infant has been admitted to the pediatric unit with a diagnosis of pyloric stenosis. What would the nurse expect in the plan of care for this client?

Correct Answer is B

Explanation

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