A nurse is caring for a 3-year-old client who has been diagnosed with a urinary tract infection and is prescribed amoxicillin/clavulanate. Which of the following pathogens should the nurse identity as the most common bacterial cause of UTIs?
Enterococcus
Escherichia coli
Pseudomonas aeruginosa
Klebsiella
The Correct Answer is B
A. Enterococcus can cause UTIs, especially in hospitalized or catheterized patients, but it is not the most common cause in otherwise healthy children.
B. Escherichia coli (E. coli) is by far the most common pathogen responsible for pediatric urinary tract infections. It accounts for approximately 80–90% of all UTIs in children. The bacteria originate from the gastrointestinal tract and ascend through the urethra into the urinary tract, making it the leading cause.
C. Pseudomonas aeruginosa is less common and usually associated with complicated UTIs, such as those in children with structural abnormalities, indwelling catheters, or immunocompromised states.
D. Klebsiella can also cause UTIs but occurs far less frequently compared to E. coli.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing support for the back and spine is not the purpose of the Pavlik harness. It is specifically designed for hip stabilization, not spinal conditions.
B. Immobilizing the legs and preventing movement is not accurate. The Pavlik harness allows limited movement while maintaining the hips in proper alignment; complete immobilization is not intended.
C. Holding the hips in a flexed and abducted position is the primary purpose of the Pavlik harness. This position keeps the femoral head well-seated in the acetabulum, promotes normal hip joint development, and prevents long-term complications associated with developmental dysplasia of the hip (DDH).
D. Correcting scoliosis in infants is unrelated. A Pavlik harness is not used for spinal deformities.
Correct Answer is A
Explanation
A. Giving water after digoxin elixir helps rinse the mouth and teeth, reducing the risk of tooth decay caused by the sweetened solution.
B. Digoxin should not be administered with high-fiber foods, as fiber can decrease its absorption.
C. The nurse should hold digoxin if the heart rate is below 70 BPM in children, not above.
D. Household spoons are inaccurate for dosing; an oral syringe or calibrated device should be used.
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