A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI).

Exhibit 1

Exhibit 2

Exhibit 3

The nurse is planning care for the client.

For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

Nurses' Notes

0700:

7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.

Administer salicylic acid for pain and fever.

Administer sulfamethoxazole and trimethoprim.

Educate the child about proper perineal hygiene.

Advise child's guardian about the use of sunscreen.

Answer and Explanation

Correct Answer : B,C,D

A.   Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver.
B.   Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms.
C.   Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily.
D.   Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
E.   Fluid restriction is contraindicated for clients with UTIs because it can increase the concentration of bacteria in the urine and worsen the infection. The nurse should ensure that the child drinks plenty of fluids, such as water, juice, or milk, to flush out the bacteria and dilute the urine.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

A) Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia.
B) Constipation can occur but is not typically an urgent complication.
C) Enuresis, or bedwetting, may be a concern but is not typically an urgent complication.
D) Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.

A. Dietitian B. Occupatonal therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is A

Explanation

A. A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis.
B. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis.
C. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis.
D. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Correct Answer is A

Explanation

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?

A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?

Exhibits A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?

A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?