Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct answer
A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale
The correct answer is: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated.
Rationale:
A: Administering sulfamethoxazole and trimethoprim is anticipated as it is a common antibiotic for treating infections.
B: Salicylic acid is contraindicated for pain and fever in children due to the risk of Reye's syndrome.
C: Educating the child about proper perineal hygiene is anticipated to prevent infections.
D: Advising about sunscreen use is contraindicated as salicylic acid increases sensitivity to sunlight.
E: Restricting fluid intake to 1,200 mL/day is contraindicated as it may lead to dehydration in children.
Summary: Choices A and C are correct due to their benefits for the client. Choices B, D, and E are incorrect due to potential risks or
Rationale:
A: Administering sulfamethoxazole and trimethoprim is anticipated as it is a common antibiotic for treating infections.
B: Salicylic acid is contraindicated for pain and fever in children due to the risk of Reye's syndrome.
C: Educating the child about proper perineal hygiene is anticipated to prevent infections.
D: Advising about sunscreen use is contraindicated as salicylic acid increases sensitivity to sunlight.
E: Restricting fluid intake to 1,200 mL/day is contraindicated as it may lead to dehydration in children.
Summary: Choices A and C are correct due to their benefits for the client. Choices B, D, and E are incorrect due to potential risks or