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: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.

Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.

Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.

Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.

A. Holding the buttocks tightly together for 1 to 2 minutes after insertion. B. Pre-warming the suppository in the hand for 10 to 20 seconds. C. Using the index finger to insert the suppository into the rectum. D. Placing the child on the abdomen for insertion of the suppository.

Correct Answer is A

Explanation

Choice A reason: Holding the buttocks together for 1-2 minutes after suppository insertion prevents expulsion, ensuring the medication is absorbed in a 3-month-old. This aligns with pediatric medication administration protocols, making it the correct intervention to assure effective delivery of the rectal suppository in this infant.

Choice B reason: Pre-warming the suppository is not standard, as it may soften excessively, complicating insertion. Holding the buttocks ensures retention, directly impacting absorption, making this less effective and incorrect compared to the critical step of preventing expulsion in a 3-month-old during suppository administration.

Choice C reason: Using the index finger is inappropriate for an infant, as the pinky finger is safer for their small rectum. Holding the buttocks ensures medication retention, making this unsafe and incorrect compared to the prioritized intervention for effective suppository administration in a 3-month-old child.

Choice D reason: Placing the child on the abdomen may aid positioning but does not ensure suppository retention like holding the buttocks. Retention is critical for absorption, making this less essential and incorrect compared to the direct intervention of securing the suppository in place post-insertion for the infant.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it is too tight and hurting the baby. Which response should the nurse prioritize in addressing this situation?

During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?

The nurse is observing an infant and notes that the infant is restless, wide-awake but quiet. The mother reports that her baby often is awake for hours at a time and is very fidgety. How would the nurse respond to her observation?