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 A
Explanation
A. A 2-year-old toddler typically requires around 1,000 to 1,400 calories per day to meet their energy needs. This amount supports growth and development.
B. Placing a large amount of food on the toddler's plate may overwhelm them and lead to food waste. A small, manageable portion is more appropriate.
C. Whole milk is recommended for toddlers under 2 years old due to its higher fat content, which supports brain development. Skim milk should not be introduced until after 2 years of age.
D. Fat intake should make up about 30-40% of total daily calories in toddlers, but it is not the goal to limit fat intake to exactly 40%. Fats are essential for growth and development.
Correct Answer is C
Explanation
A. Furosemide can cause a decrease in potassium levels, so an increase in potassium would not be expected.
B. Furosemide helps improve cardiac output by reducing fluid overload, not decreasing it.
C. A decrease in peripheral edema indicates that the furosemide (a diuretic) is effectively reducing fluid retention, which is a sign that the medication is working.
D. Furosemide typically reduces venous pressure by promoting diuresis, so an increase in venous pressure would indicate a problem.
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