What are the priorites of our care and teaching ifor the patient with reflux? (Select All that Apply.)
Preventing further Urinary Tract Infections
Preventing kidney damage
The chances of needing brain surgery
Antibiotic usage teaching with the presence of an infection
Correct Answer : A,B,D
A) Preventing further Urinary Tract Infections:
This is a relevant priority for patients with reflux. Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and sometimes to the kidneys, increasing the risk of urinary tract infections (UTIs). Preventing UTIs is important because recurring infections can lead to more severe kidney problems and complications. Teaching patients and caregivers about hygiene, proper voiding techniques, and recognizing UTI symptoms is crucial to minimize the risk of infections.
B) Preventing kidney damage:
Preventing kidney damage is a significant priority for patients with reflux. If urine refluxes back into the kidneys, it can lead to kidney damage over time. This damage can affect kidney function and potentially lead to chronic kidney disease. Monitoring kidney function, managing UTIs promptly, and considering medical or surgical interventions to correct reflux are all important strategies to prevent kidney damage.
C) The chances of needing brain surgery:
The chances of needing brain surgery are not directly related to reflux. Reflux primarily involves the urinary system, specifically the flow of urine from the bladder to the kidneys. Brain surgery is not a relevant consideration in the context of reflux or its management.
D) Antibiotic usage teaching with the presence of an infection:
This is an important aspect of care for patients with reflux who develop urinary tract infections. UTIs are common complications of reflux, and appropriate use of antibiotics is crucial to treat infections effectively and prevent further complications. Teaching patients and caregivers about the importance of completing prescribed antibiotic courses, recognizing signs of infection, and adhering to medical advice is essential to manage UTIs in the presence of reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D"}
Explanation
Pilonidal dimpling with the presence of an abnormal tuft of hair in or near the dimple
Explanation:
Spina bifida is a congenital condition where there is incomplete closing of the backbone and membranes around the spinal cord during early development in the womb. Pilonidal dimpling with the presence of an abnormal tuft of hair in or near the dimple is a specific sign of spina bifida. This condition is called "sacral dimple," and it can indicate an underlying issue with the spinal cord and nerves. An abnormal tuft of hair in or near the dimple suggests a neural tube defect, which is characteristic of spina bifida.
Why the other choices are incorrect:
A. complete paralysis:
Complete paralysis is a severe neurological symptom but it is not specific to spina bifida. It can occur due to various other conditions as well, such as spinal cord injuries, infections, and neurological disorders. It's not a characteristic sign of spina bifida.
B. Petechiae:
Petechiae are small, red or purple spots on the skin that are caused by bleeding under the skin. They are usually associated with bleeding disorders, infections, or other medical conditions. Petechiae are not a characteristic sign of spina bifida.
C. Abnormal Vital Signs:
While spina bifida can potentially lead to neurological complications that might influence vital signs, the presence of abnormal vital signs is a non-specific symptom. Abnormal vital signs could be caused by a wide range of medical conditions, and they are not directly indicative of spina bifida.
Correct Answer is D
Explanation
A) Places the infant in a side-lying position:
Positioning is important in the care of an infant with myelomeningocele. The infant is usually placed in a prone (on the abdomen) position to prevent pressure on the sac and protect the neural tissue. Placing the infant in a side-lying position may not provide the needed protection.
B) Maintains a dry dressing over the sac:
The sac should be kept moist with a sterile, non-adherent dressing moistened with saline to prevent drying and cracking, which could lead to infection.
C) Performs range of motion on the infant's hips:
Infants with myelomeningocele often have flaccid paralysis below the lesion, and excessive manipulation of the lower limbs could cause injury.
D) Takes an axillary temperature:
Rectal temperatures should never be taken, as they can cause mucosal damage or irritate the exposed spinal cord, leading to complications like meningitis. The axillary route is the safest method for temperature assessment.
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