The nurse priority assessment for a child with recurrent UTI will include: (Select All that Apply.)
Checking for abdominal tenderness
Monitoring for signs of jaundice
Obtaining a urine culture
Assessing for potential sexual abuse
Assessing the child's sleep patterns
Assessing for congenital structural abnormalities
Evaluating the child's bowel movement frequency
Correct Answer : A,C,F
A. Checking for abdominal tenderness: Abdominal tenderness can be an indication of an underlying infection or other complications associated with recurrent UTIs.
B. Monitoring for signs of jaundice: Jaundice is not typically associated with recurrent UTIs unless there is liver involvement or severe infection.
C. Obtaining a urine culture: A urine culture is essential to identify the pathogen causing the UTI and guide appropriate antibiotic treatment.
D. Assessing for potential sexual abuse: While important in certain cases, it is not the first priority unless there are signs or history suggesting it.
E. Assessing the child's sleep patterns: Sleep patterns are generally not a primary focus in assessing recurrent UTIs.
F. Assessing for congenital structural abnormalities: Recurrent UTIs in children may indicate underlying structural abnormalities in the urinary tract that need to be assessed.
G. Evaluating the child's bowel movement frequency: Bowel habits can impact urinary tract health, but it is not the top priority in the initial assessment of recurrent UTIs.
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Related Questions
Correct Answer is D
Explanation
A. To reduce the size of the prostate gland: Doxazosin does not reduce the size of the prostate; it works by relaxing smooth muscle to improve urinary flow.
B. To increase testosterone levels: Doxazosin does not affect testosterone levels; it is an alpha-blocker that helps with urinary symptoms of BPH.
C. To treat urinary tract infections: Doxazosin is not used for treating infections; it addresses symptoms related to BPH.
D. To relax the smooth muscles in the bladder neck and prostate: This is correct. Doxazosin is an alpha-1 adrenergic blocker that helps relax smooth muscles in the prostate and bladder neck, improving urine flow and relieving symptoms of BPH.
Correct Answer is A
Explanation
A. Urinalysis: This is the most important test for diagnosing a urinary tract infection (UTI). A urinalysis can reveal the presence of bacteria, white blood cells, and other indicators of infection.
B. Chest X-ray: A chest X-ray is not relevant for diagnosing a UTI and is typically used to assess the lungs.
C. Blood culture: Blood cultures are not routinely performed for a simple UTI unless the infection is suspected to be severe or has spread to the bloodstream.
D. Complete blood count (CBC): While a CBC may show an elevated white blood cell count in the presence of infection, it is not the primary test to confirm a UTI.
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