A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)

Empty bladder completely with each void

Avoid bubble baths

Increase fiber intake

Wear nylon underpants

Watch for manifestations of infection

Answer and Explanation

Correct Answer : A,B,E

A. Empty bladder completely with each void: Ensuring the bladder is completely emptied helps to reduce the risk of residual urine, which can promote bacterial growth and increase the risk of UTIs.
B. Avoid bubble baths: Bubble baths can irritate the urethra and promote bacterial growth, increasing the risk of UTIs. Avoiding them helps in prevention.
C. Increase fiber intake: Increasing fiber intake is not directly related to UTI prevention and is more relevant to digestive health.
D. Wear nylon underpants; Nylon underpants can trap moisture and create a warm environment that supports bacterial growth. Cotton underwear is recommended instead.
E. Watch for manifestations of infection: Being vigilant for signs of infection such as fever, pain, or changes in urination patterns is crucial for early detection and treatment of UTIs.

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Correct Answer is B

Explanation

A. Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage.
B. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered.
C. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment.
D. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.

A. Take the prescribed insulin 30 minutes before practice or game time rather than in the morning. B. Eat half the amount of food normally eaten at lunchtime. C. Eat six graham crackers or drink a cup of orange juice before practice or game time. D. Take two times the amount of prescribed insulin on practice and game days.

Correct Answer is C

Explanation

A. Take the prescribed insulin 30 minutes before practice or game time rather than in the morning. Insulin timing should generally be consistent with meal times to match insulin action with food intake. Adjusting timing without medical advice can lead to imbalanced blood sugar levels.
B. Eat half the amount of food normally eaten at lunchtime. Eating less food than usual can lead to hypoglycemia during prolonged physical activity and is not recommended.
C. Eat six graham crackers or drink a cup of orange juice before practice or game time. This action helps to prevent hypoglycemia during physical activity by providing quick-acting carbohydrates that can be readily absorbed and utilized by the body.
D. Take two times the amount of prescribed insulin on practice and game days. Doubling insulin doses without medical supervision can lead to hypoglycemia and is not appropriate for managing blood sugar during physical activity.

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A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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