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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 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.

A. Perform a bladder scan to check for urinary retention B. Start the client on an increased fluid intake regimen C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment D. Administer acetaminophen to reduce the fever

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

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Naxlex Comprehensive Predictor Exams

The nurse is describing how oxybutynin exerts its effect to a client receiving it as treatment for overactive bladder. An understanding of which receptor would the nurse integrate into the description?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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?

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?

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?

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

Which of the following is an important teaching point for a patient prescribed oxybutynin?

Which statement by the client indicates an understanding of the administration of transdermal oxybutynin?

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