A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI)
The nurse is planning care for the client.
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Administer Sulfamethoxazole and trimethoprim
Advise child’s guardian about the use of sunscreen
Administer salicylic acid for pain and fever
Ensure the child receives a maximum of 1,200 mL/day of fluid
Educate the child about proper perineal hygiene
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Anticipated
Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI.
Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be using sulfamethoxazole and trimethoprim which causes photosensitivity.
Proper perineal hygiene is essential in preventing recurrent urinary tract infections. Teaching the child about proper hygiene practices is important for preventing future UTIs.
Contraindicated
Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given.
Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering vaccines is not recommended during periods of neutropenia, as the child’s immune system is suppressed.
B. Neutropenia significantly reduces the child’s ability to fight infection, and consuming raw fruits and vegetables increases the risk of foodborne infections. Cooked foods are safer.
C. Bathing every other day is not sufficient. Daily bathing is necessary to maintain hygiene and reduce the risk of infections.
D. A rectal temperature is not recommended for a child with neutropenia because it increases the risk of infection; an oral or axillary temperature is preferable.
Correct Answer is D
Explanation
A. Assessing the child's pain level is important but may not be the first priority postoperatively, especially if there are signs of compromised circulation.
B. Rechecking the child's temperature is important but may not be the first priority postoperatively unless there are specific concerns related to temperature regulation.
C. Determining the child's sedation level is important for monitoring but may not be the first priority unless there are signs of respiratory compromise or other urgent concerns.
D. Comparing the child's pedal pulses is crucial in this situation as the child has undergone surgical procedures on the lower extremity, and changes in pedal pulses could indicate compromised circulation, which requires immediate attention to prevent complications such as compartment syndrome.
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