Which assessment findings might be observed in an infant with upper or lower urinary tract infection? (Select all that apply)

Jaundice

Failure to gain weight

Swelling of the face

Persistent diaper rash

Vomiting

Answer and Explanation

Correct Answer : A,B,D,E

Choice A reason:

Jaundice can be an assessment finding in infants with a urinary tract infection (UTI). UTIs can cause systemic symptoms in infants, including jaundice, especially in newborns. This is due to the immature liver function and the body’s response to infection1. Jaundice in the context of a UTI requires prompt medical evaluation and treatment to prevent complications.

Choice B reason:

Failure to gain weight is another possible assessment finding in infants with a UTI. Infants with UTIs may experience poor feeding, irritability, and lethargy, which can contribute to inadequate weight gain2. Monitoring an infant’s growth and development is crucial, and any signs of failure to thrive should prompt further investigation for underlying conditions such as UTIs.

Choice C reason:

Swelling of the face is not typically associated with UTIs in infants. While facial swelling can be a sign of other medical conditions, it is not a common symptom of UTIs. UTIs primarily affect the urinary system and may cause symptoms such as fever, irritability, and poor feeding.

Choice D reason:

Persistent diaper rash can be an assessment finding in infants with a UTI. The presence of a UTI can lead to increased urine output and changes in urine composition, which can irritate the skin and contribute to diaper rash. Persistent or recurrent diaper rash in conjunction with other symptoms may warrant further evaluation for a UTI.

Choice E reason:

Vomiting is a common symptom in infants with UTIs. The infection can cause gastrointestinal symptoms such as vomiting, diarrhea, and poor feeding. These symptoms, along with fever and irritability, are often seen in infants with UTIs and should prompt medical evaluation.

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Correct Answer is C

Explanation

The correct answer is c. Nonsteroidal anti-inflammatory drugs (NSAIDs)

Choice A reason:

Aspirin was once commonly used to treat juvenile idiopathic arthritis (JIA), but it is no longer the first-line treatment due to its potential side effects, such as gastrointestinal issues and Reye’s syndrome in children. While it can still be used in some cases, it is not the preferred initial treatment.

Choice B Reason:

Corticosteroids are effective in reducing inflammation and controlling symptoms of JIA, but they are not typically used as the first-line treatment due to their potential side effects, including weight gain, growth suppression, and increased risk of infections. They are usually reserved for more severe cases or when other treatments have failed.

Choice C Reason:

Nonsteroidal anti-inflammatory drugs (NSAIDs) are usually the first-line treatment for juvenile idiopathic arthritis. They help reduce inflammation, relieve pain, and improve joint function. NSAIDs are generally well-tolerated and have a long track record of safety and effectiveness in managing JIA.

Choice D Reason:

Disease Modifying Anti-Rheumatoid Drugs (DMARDs), such as methotrexate, are used in the treatment of JIA, but they are not typically the first-line treatment. DMARDs are often prescribed when NSAIDs are not sufficient to control the symptoms or when the disease is more severe. They help slow the progression of the disease and prevent joint damage.

A. I will have my child rest. B. I will compress the site. C. I will apply heat. D. I will elevate the affected part.

Correct Answer is C

Explanation

Choice A reason:

I will have my child rest: Resting is an important part of managing a bleeding episode in children with hemophilia. It helps to minimize movement and reduce the risk of further injury or bleeding.

Choice B Reason:

I will compress the site: Applying pressure to the bleeding site is a standard first aid measure for controlling bleeding. Compression helps to slow down or stop the bleeding by promoting clot formation.

Choice C Reason:

I will apply heat: Applying heat is not recommended for managing bleeding in hemophilia. Heat can increase blood flow to the area, potentially worsening the bleeding. Instead, cold compresses or ice packs should be used to constrict blood vessels and reduce bleeding.

Choice D Reason:

I will elevate the affected part: Elevating the affected limb can help reduce blood flow to the area and minimize bleeding. This is a common and effective first aid measure for managing bleeding episodes.

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Which assessment findings might be observed in an infant with upper or lower urinary tract infection? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which modification is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JI

Correct Answer is C

Explanation

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is C

Explanation

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