A nurse in an emergency department (ED) is assisting in the care of a 4- year-old child.
Complete the diagram by dragging from the choices below to specify what condition the child is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to check the child's progress.
The Correct Answer is []
Condition:
Pyelonephritis: The presence of fever, frequent and painful urination, and costovertebral angle tenderness, along with the urinalysis findings (cloudy urine, leukocyte esterase, nitrites, WBCs) and elevated WBC count suggest an upper urinary tract infection, likely pyelonephritis.
Actions to Take:
Request prescription for antibiotics: Pyelonephritis is a bacterial infection that requires antibiotic treatment to prevent complications and resolve the infection.
Encourage increased fluid intake: This helps to flush bacteria from the urinary tract, reducing the concentration of bacteria in the urine and helping to relieve symptoms.
Parameters to Monitor:
Child’s report of urgency: This can help assess if the infection is affecting the lower urinary tract as well and track the effectiveness of treatment.
Urine odor: Foul-smelling urine can indicate ongoing infection or bacterial presence and can be an indicator of the effectiveness of the treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A urine collection device is not appropriate for collecting stool specimens. It is designed for urine collection, not stool.
B. This method is suitable for collecting a stool specimen for the purpose of checking for ova and parasites if a stool sample is not immediately available. It helps ensure that the sample is collected directly from the rectal area.
C. Povidone-iodine (Betadine) can interfere with the results of ova and parasite testing. It is not appropriate to use it for transferring or handling stool specimens.
D. Stool specimens for ova and parasites should ideally be kept cool and sent to the lab as soon as possible. Room temperature storage can affect the integrity of the specimen and impact the accuracy of the test.
Correct Answer is C
Explanation
A. Sharing toys readily is more common in older preschoolers and school-age children.
B. Having an imaginary playmate typically occurs in children slightly older than 24 months.
C. Parallel play, where children play alongside each other without interacting, is typical for toddlers around 24 months.
D. Asking many questions is more characteristic of preschool-aged children.
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