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A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

Avoid bubble baths

Wipe perineal area front to back

Complete the course of prescribed antibiotics

Encourage frequent voiding

Wear cotton underwear

Encourage frequent fluids by mouth

Answer and Explanation

Correct Answer : A,B,C,D,E,F

A. Avoiding bubble baths is important as they can irritate the urethra and exacerbate UTIs.

B. Wiping the perineal area from front to back is essential to prevent bacteria from the rectal area from entering the urinary tract.

C. Completing the course of prescribed antibiotics is crucial to fully eradicate the infection and prevent recurrence.

D. Encouraging frequent voiding helps to flush out bacteria from the urinary tract and prevent infection.

E. Wearing cotton underwear helps keep the area dry and reduce the risk of bacterial growth.

F. Encouraging frequent fluid intake aids in hydration and helps dilute the urine, reducing irritation and promoting flushing of bacteria.

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Correct Answer is B

Explanation

A. Poor skin turgor typically indicates dehydration, not fluid overload.

B. Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.

C. Redness at the tube insertion site may indicate infection but does not specifically relate to fluid overload.

D. Fever is a sign of infection or inflammation and does not directly indicate fluid overload.

A. Administer antibiotics. B. Obtain weight weekly C. Encourage increased fluid intake D. Encourage frequent ambulation

Correct Answer is B

Explanation

A. Antibiotics are not routinely indicated for acute glomerulonephritis unless there is an underlying infection; the condition is often related to an immune response.

B. Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.

C. Fluid intake may need to be restricted to manage hypertension and edema, so encouraging increased intake is not appropriate.

D. While ambulation is important for general health, it is not a primary intervention for managing acute glomerulonephritis.

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A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

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