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?

Choice A rationale
When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, the most important intervention for the nurse to implement is monitoring peripheral pulses and sensation in the right leg. This is crucial because the traction places tension on the bones, which can result in nerve or vascular damage. Changes in peripheral pulses and sensation can indicate potential complications, such as compromised blood flow or nerve compression, which need immediate attention to prevent further damage.
Choice B rationale
While cleansing pin sites as prescribed is important for infection prevention, it is not the most critical intervention in the context of assessing vascular and neurologic status.
Choice C rationale
Assessing skin for redness and signs of tissue breakdown is important for skin care and preventing pressure ulcers, but it is secondary to monitoring peripheral pulses and sensations when the child is in traction.
Choice D rationale
Changing position every 2 hours is a standard nursing practice to prevent pressure ulcers and provide comfort, but it does not take precedence over monitoring circulation and sensation in the affected limb.

Choice A rationale
While a list of achievement timeline for developmental milestones can provide useful information about the child’s overall development, it may not be the most critical information when planning care for an umbilical hernia repair.
Choice B rationale
The mother’s use of alcohol, drugs, or cigarettes during pregnancy can have long-term effects on the child’s health, but it may not be the most relevant information for planning care for an umbilical hernia repair.
Choice C rationale
Knowing how the child reacted to any previous hospitalizations can provide valuable insight into the child’s previous healthcare experiences. This information can help the nurse plan care that is appropriate for the child’s emotional and developmental needs during the hospitalization for an umbilical hernia repair.
Choice D rationale
A history of rubella, rubeola, or chicken pox is important for the child’s medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.