A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)

Empty bladder completely with each void

Avoid bubble baths

Increase fiber intake

Wear nylon underpants

Watch for manifestations of infection

Answer and Explanation

Correct Answer : A,B,E

A. Empty bladder completely with each void: Ensuring the bladder is completely emptied helps to reduce the risk of residual urine, which can promote bacterial growth and increase the risk of UTIs.
B. Avoid bubble baths: Bubble baths can irritate the urethra and promote bacterial growth, increasing the risk of UTIs. Avoiding them helps in prevention.
C. Increase fiber intake: Increasing fiber intake is not directly related to UTI prevention and is more relevant to digestive health.
D. Wear nylon underpants; Nylon underpants can trap moisture and create a warm environment that supports bacterial growth. Cotton underwear is recommended instead.
E. Watch for manifestations of infection: Being vigilant for signs of infection such as fever, pain, or changes in urination patterns is crucial for early detection and treatment of UTIs.

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Correct Answer is B

Explanation

A. Dry mucous membranes. Associated with dehydration, not hypoglycemia.
B. Diaphoresis. Sweating (diaphoresis) is a common symptom of hypoglycemia due to the body’s response to low blood glucose levels.
C. Polyuria. Associated with hyperglycemia, where there is an excess of glucose leading to increased urine output.
D. Fruity breath odor. Indicates ketosis, which is a sign of hyperglycemia and diabetic ketoacidosis, not hypoglycemia.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

Pain: Although pain management is important for comfort and to improve quality of life, in this scenario, the child’s pain is rated as a 3 on the FLACC scale, which is moderate. Immediate pain does not seem to be the primary or most urgent concern compared to the high fever and potential underlying conditions.
Bruising: The presence of bruising in various stages of healing and petechiae suggests a possible underlying hematologic issue or trauma. While concerning and needing further investigation, it does not require immediate intervention compared to the fever.
Heart rate: The heart rate is elevated at 150 beats per minute, which could be a response to the fever, pain, or anxiety. Addressing the fever may help in normalizing the heart rate.

Respiratory rate: The respiratory rate is elevated but not critically so (normal for a toddler is 20-30 breaths per minute). There is no increased work of breathing noted, so while monitoring is important, it is not the most immediate priority compared to the fever and lab abnormalities.

Nasal stuffiness: While nasal congestion can be uncomfortable and contribute to respiratory distress, it is not an immediate threat to the child’s health and can be managed after addressing the fever and the concerning laboratory values.

Petechiae: Petechiae are small red or purple spots that can indicate bleeding under the skin and may be associated with a bleeding disorder or infection. However, the underlying cause might be revealed through laboratory investigations, which are prioritized after managing the fever. Immediate intervention for petechiae alone is not usually required unless there is evidence of significant bleeding or other acute symptoms.

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A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is assisting in the care of a toddler. Exhibits A nurse is assisting in the care of a client. Complete the following sentence by using the list of options. The nurse should first address the child's dropdown followed by the child's dropdown.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

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