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
Related Questions
Correct Answer is B
Explanation
A. A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B. Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C. A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D. An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.
Correct Answer is B
Explanation
A. Soy milk is not recommended for infants under one year of age. It does not provide the necessary nutrients for their growth and development.
B. Commercially prepared infant formula is specifically designed to meet the nutritional needs of infants. It is the best alternative to breast milk for infants having difficulty eating.
C. While warming milk might be comforting, it does not address the underlying issue of goat milk being an inappropriate nutritional source for a 10-month-old infant.
D. Breast milk is the best source of nutrition for infants. However, if breastfeeding is not possible, formula is the next best option.
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