A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply).

Avoid bubble baths.

Watch for manifestations of infection.

Empty the bladder completely with each void.

Wipe perineal area front to back.

Wear cotton underpants.

Answer and Explanation

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

The nurse should include all of these points in the teaching.

A.   Avoiding bubble baths can help prevent irritation and infection.
B.   Watching for manifestations of infection can help detect any worsening or recurrence of the infection.
C.   Emptying the bladder completely with each void can help prevent urine from remaining in the bladder and causing infection.
D.   Wiping the perineal area front to back can help prevent bacteria from
spreading to the urethra.
E.   Wearing cotton underpants can help keep the area dry and reduce the risk of infection.

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Correct Answer is C

Explanation

The correct answer ischoice C.

Choice A rationale:

A lead level of 10 mcg/dL is above the CDC’s reference value of 3.5 mcg/dL and would require more immediate follow-up and intervention, not just rescreening in one year.

Choice B rationale:

A lead level of 18 mcg/dL is significantly elevated and would necessitate immediate medical intervention and frequent monitoring, rather than waiting a year for rescreening.

Choice C rationale:

A lead level of 4 mcg/dL is slightly above the CDC’s reference value of 3.5 mcg/dL.While it is concerning, it may be appropriate to rescreen in one year if no other risk factors are present.

Choice D rationale:

A lead level of 44 mcg/dL is dangerously high and requires urgent medical treatment and frequent follow-up, not just rescreening in one year.

A. Notify the provider. B. Continue to monitor the client. C. Perform a bladder scan at the bedside. D. Provide oral rehydration ﬂuids.

Correct Answer is B

Explanation

Normal urine output for a child is 1-2 ml/kg/hr.
The child weighs 33 lb (15 kg), so their expected urine output over an 8-hour period would be between 120 mL and 240 mL.
The child’s urine output of 160 mL falls within this range.
Choice A, Notifying the provider, is not necessary because the child’s urine output
is within the normal range.
Choice C, Perform a bladder scan at the bedside, is not necessary because there is no indication of urinary retention.
Choice D, Providing oral rehydration ﬂuids, is not necessary because the child’s urine output is within the normal range.

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A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse participating in lead screening at a community center. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values?

Correct Answer is C

Explanation

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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