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 C
Explanation
A. Temperature within normal range may indicate the absence of infection, but it does not specifically indicate effectiveness of treatment for glomerulonephritis.
B. Absence of pain with voiding is a positive sign but does not directly indicate the effectiveness of treatment for glomerulonephritis.
C. Clear urine indicates resolution of hematuria, a common symptom of acute poststreptococcal glomerulonephritis, suggesting treatment effectiveness.
D. Odorless urine is a general characteristic of urine and does not specifically indicate the effectiveness of treatment for glomerulonephritis.
Correct Answer is D
Explanation
A. Requesting assistance from the anesthesiologist may not directly address the guardian's misunderstanding about the procedure and may not be necessary unless there are specific anesthesia-related concerns.
B. While this option suggests a proactive approach by the nurse, it may not be appropriate unless the nurse is sufficiently knowledgeable about the specifics of the cardiac catheterization and has been delegated this task by the healthcare team. Typically, the primary responsibility lies with the healthcare provider performing the procedure.
C. Witnessing the adolescent's signature on the informed consent form is an important step in the consent process but does not directly address the guardian's misunderstanding about the procedure.
D. This action is appropriate because the provider has the knowledge and responsibility to explain why the cardiac catheterization is necessary, the benefits it offers, and any risks associated with the procedure. It ensures that the guardian receives accurate and detailed information directly from the expert who will be performing the procedure, facilitating an informed decision.
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