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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inform the client to contact the pharmacy regarding any questions related to the medication. While pharmacists can provide additional information, the nurse should ensure the adolescent understands the medication instructions and has immediate answers to any questions during the teaching session.
B. Provide instructions to the client's parent with the client present. Adolescents may be more comfortable discussing sensitive topics such as STIs privately. The primary teaching should be directed to the adolescent to respect their autonomy and privacy.
C. Instruct the client's parents to write down the information that is being provided. This is not appropriate for an adolescent who is capable of understanding their own medical information. The focus should be on ensuring the adolescent comprehends the information.
D. Ask how the client prefers to learn new information. Correct. Asking the adolescent how they prefer to learn new information helps tailor the education to their learning style, making it more effective and respectful of their preferences.
Correct Answer is C
Explanation
A. The child feels responsible for the sibling's death. Preschool children often engage in magical thinking and may believe their thoughts or actions caused the death, which is an age-appropriate but incorrect belief.
B. The child views the sibling's death as permanent. Preschool-age children typically do not understand the permanence of death and may expect the deceased to return.
C. The child is curious about what happened to the sibling's body. Curiosity about the physical aspects of death is a normal response for this age group as they are learning about the world around them.
D. The child can give a logical explanation for the sibling's death. Logical thinking about death develops later. Preschoolers are not typically capable of giving a logical explanation for death.
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