The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake are similar. Which statement would be accurate for the nurse to tell this mother?

“Girls tend to urinate less frequently than boys, making them more susceptible to UTIs.”

“It is unlikely that your daughter is practicing good cleaning habits after she voids.”

“Girls need more vitamin C than boys to keep their urinary tract healthy, so your daughter may be deficient in vitamin C.”

“A girl’s urethra is much shorter and straighter than a boy’s, so it can be contaminated fairly easily.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Urination frequency varies individually, not by gender, and isn’t a primary UTI risk factor. The shorter female urethra explains higher UTI rates, making this inaccurate and incorrect compared to the anatomical reason for the daughter’s recurrent infections in the 5-year-old twins.

Choice B reason: Assuming poor hygiene without evidence is speculative and less relevant than anatomical differences. The shorter urethra is the primary UTI risk in girls, making this blaming and incorrect compared to explaining the biological factor contributing to the daughter’s infections in the teaching.

Choice C reason: Vitamin C may support urinary health but isn’t gender-specific or a primary UTI cause. The shorter female urethra directly increases contamination risk, making this irrelevant and incorrect compared to the anatomical explanation for the daughter’s recurrent UTIs in the caregiver’s twins.

Choice D reason: Girls’ shorter, straighter urethras allow easier bacterial access to the bladder, explaining higher UTI rates compared to boys. This anatomical fact aligns with pediatric urology evidence, making it the accurate statement to clarify the daughter’s recurrent infections for the caregiver of the twins.

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Correct Answer is C

Explanation

Choice A reason: Stating vegetarian diets are unhealthy and teens are too immature dismisses the viability of well-planned vegetarianism, which can meet nutritional needs. Emphasizing diverse plant-based foods ensures balanced nutrition, making this overly restrictive and incorrect for addressing the parent’s concern about the adolescent’s vegetarian diet.

Choice B reason: Requiring lacto-ovo vegetarianism assumes eggs and dairy are essential, but vegan diets with soy substitutes can suffice. Recommending whole grains, legumes, and nuts addresses broader nutrient needs, making this less inclusive and incorrect compared to supporting a flexible, balanced vegetarian diet for the teen.

Choice C reason: Vegetarian diets, when including whole grains, legumes, nuts, seeds, and soy substitutes, provide adequate protein, vitamins, and minerals for teens. This response reassures the parent while offering practical guidance, aligning with pediatric nutrition guidelines, making it the prioritized choice for ensuring proper nutrition on a vegetarian diet.

Choice D reason: Suggesting protein drinks and megavitamins implies vegetarian diets are inherently deficient, which is unnecessary with proper food choices. Whole grains and legumes meet nutritional needs naturally, making this overly reliant on supplements and incorrect compared to promoting a balanced vegetarian diet for the adolescent.

A. Vastus lateralis muscle B. Deltoid muscle C. Dorsogluteal muscle D. Ventrogluteal muscle

Correct Answer is A

Explanation

Choice A reason: The vastus lateralis is the preferred site for IM injections in infants, as it is well-developed, has minimal nerves and vessels, and accommodates safe volumes. This aligns with pediatric nursing injection guidelines, making it the best choice for a 3-month-old receiving an antibiotic intramuscularly.

Choice B reason: The deltoid muscle is underdeveloped in a 3-month-old, with insufficient muscle mass for safe IM injections. The vastus lateralis is safer and more developed, making this incorrect, as the deltoid risks injury or inadequate drug absorption in infants receiving intramuscular injections.

Choice C reason: The dorsogluteal muscle is avoided in infants due to proximity to the sciatic nerve and underdeveloped gluteal mass, risking nerve damage. The vastus lateralis is safer, making this incorrect for a 3-month-old, as it poses significant safety concerns for IM antibiotic injections.

Choice D reason: The ventrogluteal muscle is safe in older children but less accessible in infants due to small muscle mass and positioning challenges. The vastus lateralis is preferred for its accessibility and safety, making this incorrect for a 3-month-old’s IM antibiotic injection in clinical practice.

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Naxlex Comprehensive Predictor Exams

The parent of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this parent?

Correct Answer is C

Explanation

The nurse is administering an intramuscular injection of an antibiotic to a 3-month-old infant. Which would be the best site for the nurse to give this medication?

Correct Answer is A

Explanation

The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?