A nurse is contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include?
evaluate the child's self-esteem
encourage frequent voiding
administer an antidiuretic
restrict fluids
The Correct Answer is B
A. Evaluate the child's self-esteem. Self-esteem evaluation is important in general nursing care but is not a specific intervention for managing urinary tract infections.
B. Encourage frequent voiding. Frequent voiding helps to flush out bacteria from the urinary tract and prevents stasis, which can reduce the risk of urinary tract infections.
C. Administer an antidiuretic. Antidiuretics reduce urine output and are not typically used in the treatment of urinary tract infections, which require adequate urine flow to flush out bacteria.
D. Restrict fluids. Adequate hydration is important in managing urinary tract infections to promote urine flow and help flush out bacteria. Fluid restriction is not appropriate unless otherwise indicated.
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Related Questions
Correct Answer is D
Explanation
A. "Has your child had any diarrhea?" Diarrhea is not typically associated with glomerulonephritis.
B. "Have you noticed any rashes on your child?" Rashes are not typically associated with glomerulonephritis.
C. "Did your child sustain any injuries to the kidney area?" Direct kidney trauma is not a common cause of glomerulonephritis in children.
D. "Did your child recently complain of a sore throat?" Poststreptococcal glomerulonephritis (a common cause of acute glomerulonephritis in children) often follows a streptococcal throat or skin infection. Asking about a recent sore throat can provide important information about a possible streptococcal infection.
Correct Answer is A
Explanation
A. Reports of scalp itchiness: Itchiness of the scalp is a common symptom of pediculosis capitis (head lice), caused by the allergic reaction to lice bites. This should alert the nurse to the possibility of head lice and warrant further examination.
B. Patches of baldness: While bald patches can be seen in certain conditions like alopecia areata, they are not typically associated with pediculosis capitis.
C. Dry patches on the scalp: Dry patches may indicate a condition like seborrheic dermatitis or psoriasis, but they are not indicative of pediculosis capitis.
D. Blisters on the scalp: Blisters are more likely associated with skin infections or conditions like impetigo, not pediculosis capitis.
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