A 6-year-old child has been sent to the school nurse for wetting her pants three times in the past 2 days. The nurse should recommend that this child be evaluated for which complication first?
Urinary tract infection.
Emotional trauma.
Sexual abuse.
Structural defect of the urinary tract.
The Correct Answer is A
Choice A reason: This is the correct choice. A urinary tract infection is a common cause of urinary incontinence in children and should be evaluated first.
Choice B reason: While emotional trauma can cause changes in behavior, including incontinence, it is not the first complication to be evaluated in this scenario.
Choice C reason: Sexual abuse can result in behavioral changes, but there is no immediate indication of this being the cause without further assessment.
Choice D reason: A structural defect of the urinary tract could cause incontinence, but it is less likely to be the cause of a sudden onset of symptoms compared to a urinary tract infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. The level of consciousness is the most direct and immediate indicator of brain function following an injury.
Choice B reason: Gross motor skill function is important but may not be the best immediate indicator of brain function.
Choice C reason: Pupil response is a good indicator of brain function but is part of a broader neurological assessment that includes the level of consciousness.
Choice D reason: Vital signs are important to monitor but do not directly indicate brain function like the level of consciousness does.
Correct Answer is D
Explanation
Choice A reason: Meningitis is not typically associated with ADD/ADHD, making it a correct choice as an exception among the risk factors listed.
Choice B reason: A family history of ADD/ADHD is a known risk factor for these conditions.
Choice C reason: Exposure to environmental toxins is a recognized risk factor for developing ADD/ADHD.
Choice D reason: While gestational diabetes can have various effects on a child's health, it is not a recognized risk factor for ADD/ADHD, making this the correct answer.
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