A child with a history of frequent urinary tract infections is being evaluated.
Which teaching point is essential for the nurse to include?
Use tight-fitting underwear.
Wipe from front to back.
Encourage bubble baths.
Limit fluid intake.
The Correct Answer is B
Choice A rationale
Tight-fitting underwear can trap moisture and limit airflow in the genital area, potentially creating a more favorable environment for bacterial growth and increasing the risk of urinary tract infections (UTIs), rather than preventing them.
Choice B rationale
Wiping from front to back after urination and defecation is a critical hygiene practice for females to prevent the transfer of bacteria from the rectal area to the urethra. The urethra is shorter in females, making them more susceptible to ascending UTIs from fecal bacteria like *Escherichia coli*.
Choice C rationale
Bubble baths can introduce irritants and soaps into the urethra and perineal area, disrupting the natural flora and potentially increasing the risk of UTIs, especially in children who are already prone to them.
Choice D rationale
Limiting fluid intake can lead to less frequent urination and more concentrated urine. This allows bacteria more time to multiply in the urinary tract and reduces the flushing action that helps to eliminate bacteria, thereby increasing the risk of UTIs. Adequate hydration and frequent voiding are important for preventing UTIs. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Irritability after feedings can be a common symptom of GER due to stomach acid refluxing into the esophagus and causing discomfort. While it should be reported, it is not necessarily an immediate sign of a serious complication.
Choice B rationale
A slight decrease in appetite can occur with GER due to discomfort or a learned aversion to feeding. While it warrants monitoring, it is not typically an immediate red flag for severe complications.
Choice C rationale
Coughing or wheezing during sleep can indicate aspiration of gastric contents into the airway due to severe GER. Aspiration can lead to respiratory complications such as pneumonia, making this a serious sign that requires immediate medical attention.
Choice D rationale
Occasional spitting up after feedings is a common manifestation of GER in infants and is often physiological. While frequent or forceful spitting up should be monitored, occasional spitting up in a 9-month-old with known GER is not necessarily a sign of a serious complication requiring immediate reporting.
Correct Answer is A
Explanation
Choice A rationale
Projectile vomiting and confusion are highly concerning symptoms in a child with suspected Reye syndrome. Projectile vomiting indicates increased intracranial pressure, and confusion reflects encephalopathy, both of which are hallmark signs of the severe neurological involvement in Reye syndrome.
Choice B rationale
Fever and cough are common symptoms of many childhood illnesses, particularly respiratory infections. While Reye syndrome can sometimes follow a viral illness, fever and cough alone are not specific indicators of this condition.
Choice C rationale
Mild headache is a relatively non-specific symptom and can be associated with various conditions. While headache may occur in the early stages of some illnesses, it is not the most concerning symptom suggestive of Reye syndrome.
Choice D rationale
Muscle aches can be associated with viral infections, which sometimes precede Reye syndrome. However, muscle aches alone are not as concerning as the neurological symptoms of confusion and increased intracranial pressure indicated by projectile vomiting.
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