Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

"The VCUG will be able to fix the reason why she is having frequent urinary tract infections.”.

"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.

"The VCUG is going to administer antibiotics directly into her urinary tract because she is having too many infections.”.

"A VCUG will be attached to her bladder so it can monitor my child's ability to potty for several days.".

Answer and Explanation

The Correct Answer is B

"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.

Choice A rationale:

Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.

Choice B rationale:

This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.

Choice C rationale:

The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.

Choice D rationale:

Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.

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Correct Answer is D

Explanation

Choice A rationale:

Monitoring the patient's breathing pattern at 15-minute intervals is crucial in an unconscious patient who may have ingested alcohol or drugs, as it helps assess their respiratory status. This intervention ensures early detection of any respiratory distress and guides necessary interventions.

Choice B rationale:

Inserting an indwelling Foley catheter for straight drainage is appropriate for unconscious patients to monitor their urinary output and renal function. This helps prevent urinary retention and complications related to inadequate urine elimination.

Choice C rationale:

Administering IV D5/45 NS at 100 mL/hr is a suitable intervention to maintain the patient's fluid and electrolyte balance. It prevents dehydration and supports hemodynamic stability.

Choice D rationale:

The nurse should question the prescription of syrup of ipecac. Ipecac is no longer recommended for use in cases of poisoning due to its potential to cause adverse effects like aspiration, electrolyte imbalances, and delayed treatment. Activated charcoal or gastric lavage may be more appropriate in this situation.

A. Expiratory wheezing. B. Inspiratory crackle. C. Expiratory grunting. D. Inspiratory stridor.

Correct Answer is A

Explanation

Choice A rationale:

Expiratory wheezing is characteristic of asthma exacerbation. It indicates airway constriction and narrowing, leading to difficulty in exhaling and resulting in a high-pitched sound during expiration.

Choice B rationale:

Inspiratory crackle is not typically associated with asthma. Crackles are often heard in conditions involving fluid-filled airways, such as pneumonia.

Choice C rationale:

Expiratory grunting is not a common finding in asthma. Grunting sounds may be present in infants with respiratory distress, indicating the difficulty they experience while exhaling.

Choice D rationale:

Inspiratory stridor is not a usual manifestation of asthma. Stridor is more commonly related to upper airway obstruction, often seen in croup or epiglottitis.

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Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

Nursing Test Bank

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