. A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?

Facial edema

Increased temperature

Moist mucus membranes

Muscle twitching

Answer and Explanation

The Correct Answer is B

A. Facial edema is not typically associated with a urinary tract infection (UTI). Edema may be seen in other conditions, such as nephrotic syndrome.

B. An increased temperature (fever) is a common manifestation of a UTI. The body responds to the infection with an elevated temperature as part of the immune response.

C. Moist mucus membranes are a sign of adequate hydration and are not specifically related to a UTI.

D. Muscle twitching is not a common sign of a UTI. It could be related to electrolyte imbalances or neurological issues, but it is not typical for UTIs.

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Correct Answer is D

Explanation

A. A high-fat, low-protein diet is not appropriate for a toddler with cystic fibrosis. The body’s increased need for protein due to malabsorption requires a higher protein intake to support growth and repair.

B. A low carbohydrate, high-fat diet is not ideal for a child with cystic fibrosis. The child requires a balanced diet to meet their energy needs, with adequate carbohydrates, fats, and proteins.

C. A moderate protein, low-calorie diet would not meet the nutritional needs of a toddler with cystic fibrosis. The child needs a high-calorie diet to compensate for the malabsorption of nutrients.

D. A high-protein, high-calorie diet is the recommended diet for children with cystic fibrosis, as they have increased metabolic demands and require more calories and protein to support growth and prevent malnutrition.

A. Apply the medication in the morning. B. Use a dime-sized amount of the medication. C. Use a sunscreen with an SPF of 15 or higher while using the medication. D. Apply the medication 5 min after washing the face.

Correct Answer is C

Explanation

A. Tretinoin should be applied at night, not in the morning, as it can increase sensitivity to sunlight and may cause sunburn.

B. It is recommended to use a small, pea-sized amount of tretinoin, not a dime-sized amount, to avoid overuse and irritation.

C. Tretinoin makes the skin more sensitive to the sun, so it is important to use sunscreen with an SPF of 15 or higher to protect the skin from sun damage while using the medication.

D. After washing the face, it is recommended to wait 20-30 minutes before applying tretinoin, not just 5 minutes, to allow the skin to dry and reduce irritation.

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. A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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