A child with a new diagnosis of Vesico-Uretal-Reflux VUR) is being discharged with a long term prescription for antibiotics. The parents ask why their child will be taking antibiotics for a long time. The nurse's best response is ...
Antibiotics will help your child urinate more easily
"Antibiotics will control the autoimmune process your child is experiencing
The antibiotics will decrease the risk for urinary tract infections.
The antibiotics will cure the VUR if taking long term
The Correct Answer is C
Vesico-Ureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially up to the kidneys. This can increase the risk of urinary tract infections (UTIs) and potential kidney damage. By taking antibiotics for a longer duration, the aim is to prevent or reduce the occurrence of UTIs. Antibiotics help to eliminate or control bacterial growth in the urinary tract, reducing the risk of infection and associated complications. It is important to clarify that long-term antibiotic use does not cure VUR but rather helps manage the risk of UTIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Fat embolism syndrome can occur when fat globules enter the bloodstream after a long bone fracture, such as a femur fracture. The fat globules can travel to the lungs and cause respiratory distress and decreased oxygen saturation. The symptoms observed in the client, including tachypnea (labored breathing), decreased oxygen saturation (88%), and the presence of petechiae (small red or purple spots) on the neck and anterior chest, are consistent with fat embolism syndrome.
Fat embolism syndrome is a serious condition that requires immediate medical attention. Notifying the healthcare provider allows for prompt evaluation, confirmation of the diagnosis, and initiation of appropriate treatment. This may involve further diagnostic tests such as a chest CT scan, as mentioned in one of the options, to rule out other potential causes or complications.
Correct Answer is ["B","C","D","E"]
Explanation
The initial bundle of care in sepsis includes the following:
- Obtain blood cultures: Blood cultures help identify the specific microorganism causing the infection, which is important for guiding appropriate antibiotic therapy.
- Administer broad-spectrum antibiotics: Early administration of antibiotics is crucial in sepsis to target the suspected or likely infectious organisms. Broad-spectrum antibiotics cover a wide range of potential pathogens until more specific information from culture results is available.
- Obtain lactate levels: Measuring lactate levels helps assess tissue perfusion and can be used as an indicator of the severity of sepsis. Elevated lactate levels are associated with tissue hypoperfusion and increased mortality.
- Administer IV fluid bolus: Early aggressive fluid resuscitation is an essential component of sepsis management. Administering intravenous fluids helps restore intravascular volume and improve tissue perfusion.
- Administration of vasopressors: Especially in the setting of hypotension and to maintain MAP above 65mmHg.
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