A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI)
The nurse is planning care for the client.
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Administer Sulfamethoxazole and trimethoprim
Advise child’s guardian about the use of sunscreen
Administer salicylic acid for pain and fever
Ensure the child receives a maximum of 1,200 mL/day of fluid
Educate the child about proper perineal hygiene
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Anticipated
Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI.
Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be using sulfamethoxazole and trimethoprim which causes photosensitivity.
Proper perineal hygiene is essential in preventing recurrent urinary tract infections. Teaching the child about proper hygiene practices is important for preventing future UTIs.
Contraindicated
Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given.
Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.
B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.
C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.
D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.
E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.
Correct Answer is B
Explanation
A. Administering vaccines is not recommended during periods of neutropenia, as the child’s immune system is suppressed.
B. Neutropenia significantly reduces the child’s ability to fight infection, and consuming raw fruits and vegetables increases the risk of foodborne infections. Cooked foods are safer.
C. Bathing every other day is not sufficient. Daily bathing is necessary to maintain hygiene and reduce the risk of infections.
D. A rectal temperature is not recommended for a child with neutropenia because it increases the risk of infection; an oral or axillary temperature is preferable.
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