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 B
Explanation
A. Increased capillary refill is not typically associated with hypoglycemia but may indicate poor peripheral circulation.
B. Shakiness is a common manifestation of hypoglycemia due to the release of epinephrine in response to low blood sugar levels.
C. Thirst is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia.
D. Decreased appetite may occur in hypoglycemia, but it is not as specific a symptom as shakiness.
Correct Answer is D
Explanation
A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate.
B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance.
C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate.
D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.
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