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 C
Explanation
A. An occupational therapist is not typically needed for cystic fibrosis unless there are specific developmental or functional concerns.
B. A speech-language pathologist is not typically involved in cystic fibrosis unless there are swallowing or feeding difficulties.
C. A dietitian is crucial for managing the nutritional needs of a child with cystic fibrosis. These children often require a high-calorie diet due to malabsorption and increased metabolic demands.
D. A physical therapist may be involved for respiratory therapy, but a dietitian is a priority for addressing nutritional needs.
Correct Answer is A
Explanation
A. Clear urine indicates that the kidneys are functioning properly, with decreased protein and blood in the urine, which is a sign that treatment for poststreptococcal glomerulonephritis has been effective.
B. Pain with voiding is not a characteristic symptom of poststreptococcal glomerulonephritis, so this finding would not indicate treatment effectiveness.
C. Odorless urine is normal but does not specifically reflect improvement in glomerulonephritis.
D. A normal temperature (37.2° C) could indicate general health, but it is not specific for kidney function improvement in this condition.
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