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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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Risk for impaired urinary elimination: Oxybutynin is used to treat urinary urgency, so it is unlikely to impair urinary elimination and may even improve it.

B. Risk for alteration in body image: There is no direct association between oxybutynin use and body image concerns.

C. Risk for alteration in bowel elimination: Oxybutynin can cause constipation, but this is not the highest priority compared to dry mouth.

D. Risk for altered comfort: dry mouth: Dry mouth is a common and bothersome side effect of oxybutynin, making comfort the highest priority concern.

A. Fever and chills B. Burning and pain with urination C. Bright orange urine D. History of renal impairment

Correct Answer is D

Explanation

A. Fever and chills: Fever and chills are signs of infection and do not contraindicate the use of phenazopyridine, which is used for pain relief in UTI.

B. Burning and pain with urination: These are symptoms of a UTI, and phenazopyridine is used to treat the associated discomfort.

C. Bright orange urine: This is a common side effect of phenazopyridine and does not contraindicate its use.

D. History of renal impairment: Phenazopyridine is contraindicated in patients with renal impairment because it can accumulate in the body, leading to toxicity.

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The nurse priority assessment for a child with recurrent UTI will include: (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the highest priority nursing diagnosis for a client with a history of urinary urgency who is taking oxybutynin (Ditropan)?

Correct Answer is D

Explanation

A client with a urinary tract infection is experiencing intense burning and pain. The nurse reviews the client's electronic medical record after the client is prescribed phenazopyridine. What finding would contraindicate the safe and effective use of this medication?

Correct Answer is D

Explanation

Why is the nurse obtaining a urine sample for culture and sensitivity?

A client comes to the clinic with reports of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Which laboratory testing would be most important?

Which action should a nurse recommend to a patient experiencing dry mouth as a side effect of a urinary antispasmodic medication?

Which of the following is a common use for doxazosin in the treatment of benign prostatic hyperplasia (BPH)?

Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply.

A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?