The practical nurse (PN) is reviewing home care instructions with the mother of a young girl with a urinary tract infection (UTI). Which information reported by the mother demonstrates understanding of home care for the child?

Plan to bring her back to the doctor's office for another urine test.

Refill the antibiotic if symptoms persist after finishing the prescription.

Make certain the young girl wipes from back to front after each void.

Give the antibiotic until she no longer complains of burning.

Answer and Explanation

The Correct Answer is A

A. Follow-up urine tests are essential to ensure that the UTI is fully resolved and to check for any potential recurrence or complications.
B. The full course of antibiotics must be completed even if symptoms improve. Refiling antibiotics should only be done based on a healthcare provider's recommendation, not symptom persistence.
C. For females, the correct wiping technique is from front to back to avoid introducing bacteria from the anus to the urethra, so this statement is incorrect.
D. Antibiotics should be taken for the entire prescribed duration to completely eradicate the infection, not just until symptoms improve.

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Correct Answer is B

Explanation

A. The post-voided residual volume assessment is not part of a bladder retraining program but is a diagnostic tool used to assess bladder function after catheter removal. This explanation misrepresents the purpose of the procedure.
B. The post-voided residual volume assessment measures how much urine remains in the bladder after the client has voided. This measurement helps determine if the bladder is emptying properly and whether there is a need for catheter re-insertion.
C. Post-voided residual volume assessment does not stimulate the bladder to empty more completely; instead, it measures the amount of urine left in the bladder. The procedure is diagnostic rather than therapeutic.
D. The post-voided residual volume assessment is a diagnostic procedure, not an exercise in conditioning. This explanation does not accurately describe the clinical purpose of the assessment.

A. Exhaling slowly after two seconds. B. Blowing forcefully into the mouthpiece. C. Using a tight seal around the mouthpiece. D. Sitting upright during the treatment.

Correct Answer is B

Explanation

A. Exhaling slowly after two seconds is not part of the incentive spirometer use. Proper technique involves a slow, steady inhalation, not exhalation.
B. Blowing forcefully into the mouthpiece indicates incorrect use of the spirometer. The client should inhale slowly and deeply through the mouthpiece to expand the lungs and improve ventilation.
C. Using a tight seal around the mouthpiece is correct and necessary to ensure that the spirometer measures the volume of air accurately.
D. Sitting upright during the treatment is correct as it maximizes lung expansion and facilitates deep breathing.

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The practical nurse (PN) is reviewing home care instructions with the mother of a young girl with a urinary tract infection (UTI). Which information reported by the mother demonstrates understanding of home care for the child?

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Naxlex Comprehensive Predictor Exams

A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Which explanation should the practical nurse (PN) provide to the client about why the procedure is necessary?

Correct Answer is B

Explanation

A client is using an incentive spirometer on the first postoperative day after an inguinal herniorrhaphy. The practical nurse (PN) should reteach the proper use of the spirometer when the client demonstrates which action?

Correct Answer is B

Explanation

When administering a saline enema, the practical nurse (PN) inserts the enema tubing three inches into the client's rectum, and elevates the container six inches above the client's body. When the clamp is opened, the solution does not infuse. Which action should the PN take?

In assessing the apical heart rate of an adult, in what order should the practical nurse (PN) perform the needed tasks?

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Exhibits The client likely has dropdown related to dropdown