A nurse is contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include?
evaluate the child's self-esteem
encourage frequent voiding
administer an antidiuretic
restrict fluids
The Correct Answer is B
A. Evaluate the child's self-esteem. Self-esteem evaluation is important in general nursing care but is not a specific intervention for managing urinary tract infections.
B. Encourage frequent voiding. Frequent voiding helps to flush out bacteria from the urinary tract and prevents stasis, which can reduce the risk of urinary tract infections.
C. Administer an antidiuretic. Antidiuretics reduce urine output and are not typically used in the treatment of urinary tract infections, which require adequate urine flow to flush out bacteria.
D. Restrict fluids. Adequate hydration is important in managing urinary tract infections to promote urine flow and help flush out bacteria. Fluid restriction is not appropriate unless otherwise indicated.
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Related Questions
Correct Answer is D
Explanation
A. Regular diet, no added salt: A regular diet with no added salt does not adequately address the sodium restriction needed to manage edema in acute glomerulonephritis.
B. Low-carbohydrate, low-protein diet: Restricting carbohydrates and proteins is not typically necessary in acute glomerulonephritis unless there are specific complications.
C. Low-protein, low-potassium diet: While protein restriction may be necessary in chronic kidney disease, it is not typically the primary focus in managing acute glomerulonephritis.
D. Low-sodium, fluid-restricted: A low-sodium diet helps to reduce fluid retention and manage edema in acute glomerulonephritis. Fluid restriction may also be necessary to manage fluid balance.
Correct Answer is D
Explanation
A. Maintain a saline-lock.Maintaining a saline lock is important for potential intravenous access, but it is not the most urgent priority compared to actions that directly monitor the child's condition and help manage the disease.
B. Parental education is important for long-term management and understanding of the condition, but it is not the most immediate priority in the acute phase of the illness.
C. A no-salt-added diet is important to help manage fluid retention and hypertension, which are common in acute glomerulonephritis. However, while important, it does not take immediate priority over assessing the child's fluid status.
D. Monitoring daily weight is crucial in acute glomerulonephritis, as it helps assess fluid balance and detect early signs of fluid retention or worsening kidney function, which are key concerns in this condition. This makes it a priority action.
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