A nurse is reinforcing teaching with the parents of a child who has a urinary tract infection (UTI). Which of the following should the nurse include? Select all that apply.
Report recurrence of urinary frequency
Avoid bubble bath
Empty bladder completely with each void.
Wipe perineal area back to front
Wear nylon underpants
Correct Answer : A,B,C
A. Report recurrence of urinary frequency: Urinary frequency can indicate unresolved or recurrent UTI.
B. Avoid bubble bath: Bubble baths can irritate the urethra and increase the risk of UTIs.
C. Empty bladder completely with each void: Incomplete bladder emptying can promote bacterial growth.
D. Wipe perineal area back to front: The correct method is wiping front to back to prevent bacterial contamination from the anal area.
E. Wear nylon underpants: Cotton underpants are recommended to allow better airflow and reduce moisture, which promotes bacterial growth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assess fluid balance: Although assessment is important, rehydration takes priority to address the acute loss of fluids and electrolytes.
B. Maintain fluid therapy: Fluid therapy maintenance is secondary to initiating rehydration.
C. Introduce a regular diet: Diet modification is less critical than rehydration in the acute phase.
D. Rehydrate: Rehydration addresses the immediate risk of dehydration and electrolyte imbalance caused by severe diarrhea.
Correct Answer is A
Explanation
A. Ribbonlike, foul-smelling stools. This is a classic symptom of Hirschsprung disease due to chronic constipation and obstruction from the absence of ganglion cells in the rectum.
B. Projectile vomiting. Projectile vomiting is associated with pyloric stenosis, not Hirschsprung disease.
C. Chronic hunger. This is also indicative of pyloric stenosis rather than Hirschsprung disease.
D. Ridged abdomen. While abdominal distension may occur, a ridged abdomen is not specific to Hirschsprung disease.
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