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 A
Explanation
A. Provide an infant with a one-piece pacifier for non-nutritive sucking. Correct. A one-piece pacifier is recommended to prevent choking hazards associated with pacifiers that can come apart.
B. Place an infant who is 5 months old in a high chair to feed. Infants typically do not have the necessary motor control to sit safely in a high chair until around 6 months of age when they can sit with minimal support.
C. Secure the infant's car seat behind an airbag. It is unsafe to place a car seat behind an airbag. Airbags can deploy with great force and potentially injure an infant. The safest place for a car seat is the back seat, away from airbags.
D. Position a 1-month-old infant supine on a soft mattress. Infants should be placed supine (on their back) to sleep to reduce the risk of sudden infant death syndrome (SIDS), but a firm mattress should be used, not a soft one, to prevent suffocation hazards.
Correct Answer is D
Explanation
A. Decreased heart rate: Dehydration typically causes an increased heart rate (tachycardia) rather than a decreased heart rate.
B. Bulging fontanelle: A bulging fontanel can indicate increased intracranial pressure or overhydration. Dehydration, which is more common with diarrhea, would more likely cause a sunken fontanel.
C. Polyuria: Polyuria (increased urine output) is not expected with dehydration. Dehydration often results in oliguria (decreased urine output).
D. Increased haematocrit: Correct. Dehydration can cause hemoconcentration, which leads to an increased haematocrit as the blood becomes more concentrated.
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