The nurse is evaluating a preschool-aged child who is presenting with symptoms of flank pain, dysuria, and a low-grade fever. What additional information should the nurse obtain from the parent to determine if the child might have a urinary tract infection?
Frequency of urination
Any recent changes in diet
Presence of any unusual odors in the urine
Any changes in the color of the urine
The Correct Answer is A
Choice A rationale
In evaluating a preschool-aged child presenting with symptoms of flank pain, dysuria, and a low-grade fever for a possible urinary tract infection (UTI), the nurse should obtain additional information from the parent about the frequency of urination. Increased frequency of urination is a common symptom of UTI in children.
Choice B rationale
While dietary changes can affect the color and odor of urine, they are not typically associated with the symptoms of a UTI.
Choice C rationale
Unusual odors in the urine can be a sign of a UTI. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
Choice D rationale
Changes in the color of the urine can be a sign of a UTI, as the urine may appear cloudy or have a pink or red color due to the presence of blood. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A fecal-fat test is used to measure the body’s ability to break down and absorb fat. It is not a standard diagnostic test for cystic fibrosis (CF)6.
Choice B rationale
A sweat-chloride test is the standard diagnostic test for CF. People with CF have higher than normal levels of sodium and chloride in their sweat, which can make their skin taste salty.
Choice C rationale
A pulmonary-function test measures how well the lungs work and can be used to monitor lung disease in people with CF. However, it is not a standard diagnostic test for CF, especially in a 2- month-old infant.
Choice D rationale
A potassium chloride test is not a standard diagnostic test for CF6.
Correct Answer is C
Explanation
Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
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