A 5-year-old patient is diagnosed with an uncomplicated urinary tract infection for the first time. The nurse practitioner should order:
cephalexin (Keflex) orally for 10 days
ciprofloxacin (Cipro) orally for 7 days.
ceftriaxone (Rocephin) IM every 24 hours for 5 days.
nitrofurantoin (Furadantin) orally for 7 days.
The Correct Answer is A
Rationale:
A. Cephalexin (Keflex) is a first-generation cephalosporin commonly used as a first-line oral treatment for uncomplicated urinary tract infections in children. A 7–10 day course is effective for eradicating infection while being well-tolerated.
B. Ciprofloxacin (Cipro) is generally avoided in children due to potential adverse effects on cartilage and is reserved for complicated or resistant infections.
C. Ceftriaxone (Rocephin) IM is typically reserved for severe infections, hospitalized patients, or when oral therapy is not feasible. It is not first-line for uncomplicated UTIs in outpatient children.
D. Nitrofurantoin (Furadantin) is effective for lower urinary tract infections but is usually avoided in children under 1 month and is less preferred in some cases for first-time infections due to limited tissue penetration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Klinefelter syndrome affects males and is characterized by tall stature, small testes, and hypogonadism, not delayed female puberty.
B. Turner syndrome affects females and is associated with short stature (often below the third percentile), gonadal dysgenesis, and delayed or absent puberty. It is a common cause of primary amenorrhea in adolescent girls.
C. Anorexia can cause delayed puberty due to low body weight, but the hallmark of Turner syndrome is short stature from birth.
D. Obesity is more commonly associated with earlier puberty rather than delayed puberty in females.
Correct Answer is D
Explanation
Rationale:
A. Acetic acid is primarily used for topical treatment of certain infections and is not appropriate for general wound cleansing before suturing.
B. Povidone-iodine can be irritating to tissues and may delay wound healing if used for deep wound irrigation.
C. Chlorhexidine (Hibiclens) is effective for skin antisepsis but is generally not recommended for open wound irrigation due to potential tissue toxicity.
D. Saline solution for irrigation is the preferred method for cleansing lacerations prior to suturing. It effectively removes debris and contaminants without causing tissue irritation, promoting optimal wound healing.
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