A nurse is preparing to obtain a urine sample from a 7-month-old client. Which of the following collection methods should the nurse identify as yielding the most reliable urinalysis and urine culture results?

Clean-catch

Straight catheterization

Suprapubic aspiration

Urine collection bag

Answer and Explanation

The Correct Answer is B

A. Clean-catch samples are difficult to obtain in infants and may yield contaminated results.

B. Straight catheterization is the most reliable method for obtaining a sterile urine sample in infants, providing accurate results for both urinalysis and urine culture.

C. Suprapubic aspiration is another sterile method but is less commonly performed than catheterization.

D. A urine collection bag can be contaminated and is less reliable for culture or urinalysis.

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Correct Answer is A

Explanation

A. Corticosteroids are the mainstay of treatment for minimal change nephrotic syndrome, as they help reduce inflammation and proteinuria.

B. Increased fluids are not typically prescribed for minimal change nephrotic syndrome unless dehydration is a concern.

C. Antihypertensive agents may be needed if the child develops hypertension, but they are not the first-line treatment for minimal change nephrotic syndrome.

D. Antibiotics are not indicated unless there is a concurrent infection.

A. Assessing respiratory efforts B. Placing on a telemetry monitor C. Monitoring intake and output D. Obtaining laboratory studies

Correct Answer is A

Explanation

A. Guillain-Barré syndrome can cause progressive weakness and paralysis, including respiratory muscles. Respiratory assessment is the priority, as respiratory failure is a leading cause of mortality in GBS.

B. Placing the child on a telemetry monitor is helpful but not as urgent as assessing respiratory function in a child with GBS.

C. Monitoring intake and output is important but secondary to respiratory assessment in this case.

D. Obtaining laboratory studies is necessary but not as time-critical as assessing respiratory function.

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A nurse is preparing to obtain a urine sample from a 7-month-old client. Which of the following collection methods should the nurse identify as yielding the most reliable urinalysis and urine culture results?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is prescribed for the therapeutic management of minimal change nephrotic syndrome?

Correct Answer is A

Explanation

The nurse is admitting a school-age child with suspected Guillan- Barre syndrome (GBS). Which is the priority in the care for this child?

Correct Answer is A

Explanation

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