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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Related Questions
Correct Answer is C
Explanation
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Correct Answer is B
Explanation
A. Antibiotics: Antibiotics are used for infections, not for enuresis.
B. Behavioral therapy and/or DDVAP (Desmopressin): Behavioral therapy (such as bedwetting alarms) is first-line, and desmopressin reduces nocturnal urine production when behavioral methods are insufficient.
C. Pain medication: Pain is not a factor in enuresis and does not require analgesics.
D. Surgical intervention: Surgery is not a common treatment for enuresis and is only considered in rare anatomical abnormalities.
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