A patient has an elevated serum creatinine level. Based on this information, the nurse should consult with the health care provider before administration of which medication?

Choice A rationale:

Instructing the mother in palpation of bladder distention might not effectively address the issue of incomplete bladder emptying. Clean intermittent catheterization is a more appropriate technique to ensure complete emptying.

Choice B rationale:

Informing the mother that life-long antibiotic administration will be necessary is not the primary approach. Antibiotics may be required in specific situations, but addressing incomplete emptying is the key focus.

Choice C rationale:

Preparing the mother for the need for urinary diversion surgery is premature. Clean intermittent catheterization is a conservative measure that should be attempted before considering surgical options.

Choice D rationale:

Instructing the mother in the technique of clean intermittent catheterization helps manage the neurogenic bladder's incomplete emptying. This technique reduces the risk of urinary tract infections and promotes bladder health.

Choice A rationale:

Allowing a pacifier is appropriate and unrelated to the procedure.

Choice B rationale:

Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.

Choice C rationale:

Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.

Choice D rationale:

Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.