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.
Educate the child about proper perineal hygiene.
Advise child's guardian about the use of sunscreen.
Administer salicylic acid for pain and fever.
Administer sulfamethoxazole and trimethoprim.
Ensure the child receives a maximum of 1,200 mL/day of fluid.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Logrolling is a specific turning technique used to maintain spinal alignment post-operatively. It requires two nurses to prevent injury to the spine.
B. While elevating the head of the bed is important to prevent respiratory complications, a 30° angle is too high for a patient with spinal instrumentation. A lower angle is typically recommended to maintain spinal alignment.
C. Early ambulation is encouraged after surgery, but 12 hours is too soon. The adolescent will likely be on bed rest for several days to allow the fusion to stabilize.
D. Clear liquids are often introduced earlier than 4 hours post-surgery, once bowel sounds return and there is no evidence of nausea or vomiting.
Correct Answer is A
Explanation
A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.
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