Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
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. Vital Signs 0715: Temperature 38° C (100.4° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4° C (101.1° F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescriptions: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and feverFor 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: Contraindicated, D: Anticipated, E: Contraindicated
Rationale
[1, 0, 0, 1, 0]
For choice A, educating the child about proper perineal hygiene is anticipated as it promotes health. Choice B, advising about sunscreen, is contraindicated as it may not be relevant to the client's condition. Choice C, administering salicylic acid, is contraindicated as it can be harmful due to potential side effects. Choice D, administering sulfamethoxazole and trimethoprim, is anticipated for treating infections. Choice E, limiting fluid intake, is contraindicated as it can lead to dehydration.
For choice A, educating the child about proper perineal hygiene is anticipated as it promotes health. Choice B, advising about sunscreen, is contraindicated as it may not be relevant to the client's condition. Choice C, administering salicylic acid, is contraindicated as it can be harmful due to potential side effects. Choice D, administering sulfamethoxazole and trimethoprim, is anticipated for treating infections. Choice E, limiting fluid intake, is contraindicated as it can lead to dehydration.