. A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?
Facial edema
Increased temperature
Moist mucus membranes
Muscle twitching
The Correct Answer is B
A. Facial edema is not typically associated with a urinary tract infection (UTI). Edema may be seen in other conditions, such as nephrotic syndrome.
B. An increased temperature (fever) is a common manifestation of a UTI. The body responds to the infection with an elevated temperature as part of the immune response.
C. Moist mucus membranes are a sign of adequate hydration and are not specifically related to a UTI.
D. Muscle twitching is not a common sign of a UTI. It could be related to electrolyte imbalances or neurological issues, but it is not typical for UTIs.
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Related Questions
Correct Answer is D
Explanation
A. Redness at the injection site is a common and mild reaction to vaccines. It does not typically require immediate medical intervention unless it worsens or is accompanied by more severe symptoms.
B. A temperature of 37.7° C (99.9° F) is a low-grade fever, which is a common, expected response after immunization. It is not a priority unless it increases significantly or is accompanied by other concerning symptoms.
C. Prolonged crying can sometimes occur after immunizations, but it is usually self-limited and resolves within a short period. If the crying is not excessive and does not indicate distress, it is generally not a priority concern.
D. Hives on the child’s neck could be a sign of an allergic reaction, such as anaphylaxis, which is a medical emergency. The nurse should immediately assess the child’s airway and provide necessary interventions, such as administering epinephrine, if required. This finding is the priority because it suggests a possible severe allergic response
Correct Answer is D
Explanation
A. While it is a good idea to wear a helmet, the color does not significantly impact safety. The helmet should fit securely and cover the forehead, not the ears.
B. Riding against traffic is unsafe. Cyclists should always ride in the same direction as traffic to ensure they are visible to drivers.
C. The child should always walk the bicycle through crosswalks and intersections to ensure safety and better visibility to drivers.
D. Ensuring the balls of the feet touch the ground while seated on the bicycle helps the child maintain balance and provides a safer, more controlled ride.
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