We know that reflux refers to the retrograde flow of bladder urine into the ureters, which of the following items are important information in the patient’s history? (Select All that Apply)
The fact that the patient is male
The fact that the patient is female.
Developmental milestones
The number of urinary tract infections the patient has had
Correct Answer : C,D
A. The fact that the patient is male
Incorrect Explanation: The patient's gender does not directly provide important information about the history of reflux.
Explanation: Vesicoureteral reflux (VUR), which is the retrograde flow of urine from the bladder into the ureters, can affect individuals of any gender. While gender might have some implications for certain conditions, it is not a critical factor in understanding the history of reflux.
B. The fact that the patient is female.
Incorrect Explanation: The patient's gender does not directly provide important information about the history of reflux.
Explanation: Just like with the previous option, the patient's gender does not play a significant role in the history of vesicoureteral reflux. The condition can affect both males and females.
C. Developmental milestones
Correct Explanation: Developmental milestones are important in understanding the history of reflux.
Explanation: Developmental milestones are significant because VUR is more common in infants and young children. Infants and young children have a higher likelihood of developing reflux due to the immaturity of their urinary tract systems. Knowing about the patient's developmental milestones can help assess the risk and potential severity of reflux.
D. The number of urinary tract infections the patient has had
Correct Explanation: The number of urinary tract infections (UTIs) is important in understanding the history of reflux.
Explanation: Repeated urinary tract infections can be a sign of vesicoureteral reflux. The backflow of urine from the bladder into the ureters can contribute to UTIs. Monitoring the frequency of UTIs can provide insights into the presence and severity of reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
To calculate the mL of phenytoin oral solution needed for a 250 mg dose, we can use the following equation:
Dose (mg) = Volume (mL) × Concentration (mg/mL)
Given:
Dose = 250 mg
Concentration = 25 mg/5 mL
We need to find the volume (mL):
Volume (mL) = Dose (mg) / Concentration (mg/mL)
Volume (mL) = 250 mg / (25 mg/5 mL)
Volume (mL) = 250 mg / (5 mg/mL)
Volume (mL) = 50 mL
So, the nurse should administer 50 mL of phenytoin oral solution per dose.
Correct Answer is A
Explanation
Fluid Requirement (mL/24 hours) = Weight (kg) × Fluid Requirement (mL/kg)
Given that the child weighs 70.4 pounds, we first need to convert this weight to kilograms (1 lb = 0.453592 kg):
Weight in kg = 70.4 lb × 0.453592 kg/lb ≈ 31.89 kg
Now, let's calculate the fluid requirement using the given choices:
A) 1740:
Fluid Requirement = 31.89 kg × 55 mL/kg = 1753.95 mL
B) 134056:
This number is significantly larger than any reasonable fluid requirement and is likely an error.
C) 2:
This value is far too low to represent the fluid requirements of a child.
D) 12:
This value is also too low to represent the fluid requirements of a child.
So, the correct answer is A) 1740 mL. The child's estimated daily fluid requirement would be around 1740 mL in a 24-hour period, based on a weight of 70.4 pounds.
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