what recommendation should the nurse make to prevent urinary tract infections utis in young girls

ATI RN

RN Nursing Care of Children 2019 With NGN

1. What recommendation should the nurse make to prevent urinary tract infections (UTIs) in young girls?

A. Avoid public toilet facilities
B. Limit long baths as much as possible
C. Cleanse the perineum with water after voiding
D. Ensure clear liquid intake of 2 L/day

Correct answer: C

Rationale: Proper perineal hygiene, including cleansing with water after voiding, is crucial in preventing UTIs in young girls. Avoiding public toilets and limiting baths are less effective than proper hygiene practices.

2. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?

A. Female, multiple siblings, stable home life
B. Male, high activity level, stressful home life
C. Male, even-tempered, history of previous injuries
D. Female, reacts negatively to new situations, no serious previous injuries

Correct answer: B

Rationale: A male child with a high activity level and a stressful home life has multiple risk factors for childhood injuries, requiring closer supervision and preventive measures.

3. A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after the administration of prednisone. The nurse realizes further teaching is required if the parents state what?

A. We will keep our child away from anyone who is ill.
B. We will be sure to administer the prednisone as ordered.
C. We will encourage our child to eat a balanced diet, but we will watch his salt intake.
D. We understand our child will not be able to attend school, so we will arrange for homeschooling.

Correct answer: D

Rationale: Children with MCNS who are in remission can usually attend school and participate in normal activities with precautions to avoid infections. Home schooling may not be necessary, and this indicates a misunderstanding of the condition's management.

4. What condition is the most common cause of acute renal failure in children?

A. Pyelonephritis
B. Tubular destruction
C. Severe dehydration
D. Upper tract obstruction

Correct answer: C

Rationale: Severe dehydration is the most common cause of acute renal failure in children, as it leads to prerenal azotemia, which can progress to renal failure if not corrected. Other causes like pyelonephritis and tubular destruction are less common and usually secondary to other conditions.

5. Play activities of the preschool-age child include:

A. Having imaginary playmates
B. Selective collection of objects
C. Complex board games
D. Associative play

Correct answer: A

Rationale: The correct answer is A, 'Having imaginary playmates.' Preschool-age children often engage in imaginative play, which includes creating imaginary friends or playmates. This type of play helps them develop creativity, social skills, and emotional expression. Choice B, 'Selective collection of objects,' may be more common in older children and is not a typical play activity for preschoolers. Choice C, 'Complex board games,' are usually beyond the developmental level of preschoolers as they require more advanced cognitive skills. Choice D, 'Associative play,' is a term used to describe a type of play where children play alongside each other but not necessarily together, which is different from the imaginative play involving imaginary playmates that preschoolers often engage in.