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 of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Educate the child about proper perineal hygiene
Administer sulfamethoxazole and trimethoprim
Administer salicylic acid for pain and fever
Ensure the child receives a maximum of 1,200 mL/day of fluid
Advise child’s guardian about the use of sunscreen
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Proper perineal hygiene is essential in preventing recurrent urinary tract infections.
Teaching the child about proper hygiene practices is important for preventing future UTIs.
Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI.
Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given.
Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation.
Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be outdoors. This intervention is not directly related to the UTI but is generally important for the child's overall health and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oral electrolyte solution helps to prevent dehydration and maintain electrolyte balance in infants with acute diarrhea.
B. Applesauce may worsen diarrhea due to its high fiber content and should be avoided initially.
C. White grape juice may worsen diarrhea due to its high sugar content and lack of electrolytes.
D. Chicken soup may not provide the necessary electrolytes and may contain ingredients that are difficult for an infant with acute diarrhea to digest.
Correct Answer is B
Explanation
A. Furosemide is a loop diuretic that typically causes potassium loss, so an increase in potassium levels would not be expected as an indication of effectiveness.
B. Furosemide is prescribed to reduce fluid volume overload, which often manifests as peripheral edema in patients with heart failure. A decrease in peripheral edema indicates that the medication is effectively reducing fluid retention.
C. Furosemide is not typically prescribed to decrease cardiac output but rather to reduce fluid volume overload, which may help improve cardiac function indirectly.
D. Furosemide is not typically prescribed to increase venous pressure but rather to decrease fluid volume overload, which may help reduce venous pressure over time.
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