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 B
Explanation
Choice A reason: A CVA typically does not present with fever and rash.
Choice B reason: This is the correct choice. The symptoms described are classic for meningococcal meningitis, a bacterial infection of the membranes covering the brain and spinal cord.
Choice C reason: Rocky Mountain spotted fever presents with a rash but not typically with nuchal rigidity.
Choice D reason: Intracerebral hemorrhage may cause a severe headache but would not typically present with fever or a petechial rash.
Correct Answer is D
Explanation
Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.
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