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. Remain uninvolved until the child awakens. This can be distressing for both the child and the parent. Parents should provide comfort and ensure the child is safe without trying to fully awaken them. Staying uninvolved until the child awakens ensures they do not reinforce the behavior inadvertently
B. Take the child to the parent's bed to resume sleep. This can create a dependency on sleeping with the parent and may disrupt the child's ability to self-soothe and sleep independently.
C. Schedule professional counselling for the child. While severe cases may benefit from professional help, many children experience sleep terrors that do not require counselling. It’s not the first-line approach.
D. Allow the child to fall asleep with the television on. This is not advisable as it can create unhealthy sleep habits and the light from the television can disrupt sleep cycles.
Correct Answer is B
Explanation
A. "Hemodialysis uses an electrolyte solution to clean your child's blood." Hemodialysis does not use an electrolyte solution to clean the blood. Instead, it uses a dialysate, a special fluid that helps remove waste products and excess substances from the blood through a semi-permeable membrane in the dialyzer.
B. "Hemodialysis uses an artificial membrane outside the body to clean your child's blood." This statement is accurate. Hemodialysis involves passing the child's blood through an artificial membrane (dialyzer) outside the body to filter and clean it, removing waste products and excess fluids.
C. "Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood." This statement describes peritoneal dialysis, not hemodialysis. In peritoneal dialysis, the peritoneal cavity inside the abdomen is used as a natural membrane for dialysis.
D. "Hemodialysis slowly filtrates your child's blood continuously." Continuous slow filtration of blood describes Continuous Renal Replacement Therapy (CRRT), not standard hemodialysis. Hemodialysis is typically performed several times a week for a few hours each session.
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