A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI)

Exhibits

The nurse is planning care for the client.

For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

A. Educate the child about proper perineal hygiene. Anticipated. This is essential to prevent the recurrence of UTIs.
B. Advise child's guardian about the use of sunscreen. Anticipated. While not directly related to the UTI, protecting the child's skin from sun damage is important overall health.
C. Administer salicylic acid for pain and fever. Contraindicated. Salicylic acid is contraindicated in children due to the risk of Reye's syndrome.
D. Administer sulfamethoxazole and trimethoprim. Anticipated. This is the prescribed medication for the UTI and should be administered as ordered.
E. Ensure the child receives a maximum of 1,200 mL/day of fluid. Anticipated. Adequate hydration is crucial for flushing bacteria from the urinary tract. Restricting fluids is counterproductive.

A. This statement is appropriate for a 3-year-old. It uses simple language to explain the injection in a way that minimizes fear. Describing the injection as a "little stick" helps to convey that the sensation will be brief and not too painful, which can help reduce anxiety about the procedure.
B. This statement is not advisable because it can place undue pressure on the child to avoid expressing their feelings of discomfort. Additionally, it can create a sense of conditional reward rather than focusing on the purpose of the injection and making the experience more positive.
C. While this statement is well-intentioned, it might be too vague for a 3-year-old. Children at this age may not fully understand the concept of "feeling better" or the purpose of the medication. It is better to use simple and specific language that relates directly to the procedure rather than the outcome.
D. This statement is not appropriate because it offers a choice that is not feasible or relevant to the
child’s immediate situation. For a 3-year-old, the decision about which leg to use is typically made by the healthcare provider based on clinical considerations.