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 the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Administer sulfamethoxazole and trimethoprim
Administer salicylic acid for pain and fever.
Educate the child about proper perineal hygiene.
Advise child's guardian about the use of sunscreen.
Ensure the child receives a maximum of 1,200 mL/day of fluid.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}
Administer sulfamethoxazole and trimethoprim: Anticipated
Sulfamethoxazole and trimethoprim (Bactrim) are commonly prescribed antibiotics for treating urinary tract infections, especially in children. They are effective against the bacteria commonly responsible for UTIs, such as Escherichia coli.
Administer salicylic acid for pain and fever: Contraindicated
Salicylic acid is not recommended for pain and fever management in children due to the risk of Reye's syndrome, a rare but serious condition that can occur in children recovering from viral infections, particularly after using salicylate-containing medications. Acetaminophen or ibuprofen are safer options for pain and fever relief in children with UTIs.
Educate the child about proper perineal hygiene. Anticipated
Proper perineal hygiene is essential for preventing recurrent urinary tract infections. Teaching the child about wiping from front to back after urination and bowel movements helps reduce the risk of introducing bacteria into the urinary tract.
Advise child's guardian about the use of sunscreen. Contraindicated
While sunscreen is important for protecting the skin from harmful UV rays, it is not directly related to the management of urinary tract infections. The priority should be on treating the infection and ensuring proper hygiene. Sunscreen advice may be relevant in general health discussions but is not specifically indicated for the current condition.
Ensure the child receives a maximum of 1,200 mL/day of fluid. Contraindicated
Adequate fluid intake is crucial for flushing out bacteria from the urinary tract and preventing dehydration. Restricting fluid intake to 1,200 mL/day may lead to concentrated urine, which can exacerbate urinary tract infections and increase the risk of complications. Encouraging adequate fluid intake, particularly water, is important for managing UTIs in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. An adolescent who has a BP of 132/82 mm Hg: While on the higher end of normal for adolescents, it might not necessarily require immediate reporting unless there are other symptoms or a history of hypertension.
B. A 3-month-old infant who has a respiratory rate of 30/min: A respiratory rate of 30/min is within the normal range for a 3-month-old infant. Normal respiratory rates for infants typically range from 30 to 60 breaths per minute
C. A school-age child who has a rectal body temperature of 37.3° C (99.1° F): This is a low-grade fever and might not be a major concern in an otherwise healthy school-age child.
D. An 18-month-old toddler who has a heart rate of 68/min: A heart rate of 68/min is lower than the normal range for an 18-month-old toddler. Typically, the normal heart rate for toddlers ranges from about 80 to 130 beats per minute. A heart rate of 68/min could indicate bradycardia, which requires further assessment by a provider.
Correct Answer is C
Explanation
A. Warm temperature of the distal extremity: Warmth is a normal finding and indicates proper blood flow to the extremity.
B. Positive pedal pulse in the distal extremity: A positive pedal pulse is a good sign indicating that circulation is adequate in the extremity.
C. Pallor of the distal extremity: Pallor can indicate compromised blood flow or ischemia, which is a serious condition that needs immediate attention. This could be a sign that the cast is too tight or that there is another issue affecting circulation.
D. Mobility of the distal extremity: Mobility of the distal extremity indicates that the cast is not too tight and that nerve function is likely intact. It is a positive sign and generally not a concern unless there are other symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.