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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dopamine receptors: Dopamine receptors are involved in the regulation of movement and mood but are not the primary receptors affected by oxybutynin.
B. Beta adrenergic receptors: Beta adrenergic receptors are involved in smooth muscle relaxation, but oxybutynin targets the muscarinic receptors.
C. Muscarinic receptors: Oxybutynin works by blocking muscarinic receptors in the bladder, thereby reducing overactive bladder symptoms like urgency and frequency.
D. Alpha adrenergic receptors: These receptors are involved in vasoconstriction and are not the primary target of oxybutynin.
Correct Answer is C
Explanation
A. Perform a bladder scan to check for urinary retention: While urinary retention may be a concern, the client's symptoms (confusion, fever, foul-smelling urine) indicate a possible UTI, which should be addressed first.
B. Start the client on an increased fluid intake regimen: While fluid intake is important, the client needs immediate medical attention to diagnose and treat a possible infection.
C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment: Correct. The client's symptoms suggest a urinary tract infection, which requires prompt diagnosis and treatment with antibiotics.
D. Administer acetaminophen to reduce the fever: While fever management is important, it does not address the underlying cause of the symptoms, which is likely a UTI.
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