. 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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A decreased white blood cell (WBC) count in the cerebrospinal fluid (CSF) would not support the diagnosis of bacterial meningitis. Bacterial infections typically cause an increased WBC count, specifically neutrophils.
B. Elevated total protein in the CSF is a classic finding in bacterial meningitis, as the infection leads to increased permeability of the blood-brain barrier and results in an increase in protein content.
C. Elevated glucose in the CSF is not consistent with bacterial meningitis. In bacterial meningitis, glucose levels are usually decreased due to the consumption of glucose by bacteria.
D. Decreased pressure in the CSF is not typical in bacterial meningitis. Increased intracranial pressure often results in elevated CSF pressure.
Correct Answer is D
Explanation
A. Antidiarrheal agents are generally avoided in cases of shigella infection, as they can slow the elimination of the bacteria and worsen the infection.
B. A diet high in sodium is not appropriate; instead, oral rehydration therapy (ORT) is recommended to replace fluids and electrolytes lost during diarrhea.
C. Shigella is a bacterial infection, not a viral one, so antiviral medications would not be effective. Antibiotics may be prescribed in some cases, but antivirals are not appropriate.
D. Oral rehydration therapy is crucial to prevent dehydration and restore lost fluids and electrolytes in children with diarrhea from shigella.
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