NUR 158 TEST 2 QUESTIONS COMPLETE
WITH 100% VERIFIED ANSWERS WITH
RATIONALE
Tara's probable diagnosis is urinary tract infection (UTI). What factors
place Tara at risk for developing UTIs?
A) Anatomical structure
B) Recent toilet training
C) Submersion in water during bathing or swimming
D) All of the above
D) All of the above
Rationale:
Very young girls have urethras that are only 2 cm in length, which allows
easier means for bacteria to enter the urinary tract. At this age, the
anus is close to the urethra, which can lead to fecal contamination of
the urethra.
Tara's recent toilet training and inexperience with proper hygiene can
increase her risk of UTI, especially if she has poor wiping techniques.
Girls should be taught to wipe from front to back to decrease the
chances of fecal contamination of the urethra.
Taking bubble baths can lead to UTIs. As children sit in the water, the
,oils in the bubble bath can irritate the urethra; showering is preferred.
All of the above factors do place Tara at risk for developing UTIs.
Based on Tara's presentation (UTI), what type of health care provider
prescription would the nurse anticipate receiving first?
A) Urinalysis and urine culture
B) Blood culture and complete blood count (CBC)
C) Lumbar puncture
D) Abdominal radiography
A) Urinalysis and urine culture
Rationale:
A urinalysis and urine culture must be obtained by either clean catch or
catheterization to correctly diagnose the probable UTI. The presence of
nitrites and leukocytes on the urinalysis confirms the diagnosis. The
urine culture is needed to identify the organism to ensure the
appropriate antibiotic is used to treat the infection.
A blood culture and CBC would be necessary if the patient had a fever
of unknown origin. Although a white blood cell count would reveal
infection, the urinalysis and urine culture tests are more focused on
Tara's physical findings and chief complaint.
Similar to the blood culture and CBC, a lumbar puncture may be
indicated if the child had a fever of unknown origin and headache or
dizziness. However, her symptoms are strictly related to her urinary
tract.
Abdominal radiography is indicated only if Tara experiences abdominal
pain without a probable cause. Her symptoms suggest a UTI as the
cause.
,Tara is admitted to the hospital for intravenous antibiotic therapy. Her
urine culture is positive for Escherichia coli, and her antibiotics are
changed to better treat this organism. Tara's mother asks for
information regarding this bacterium. What is an appropriate
response?
Escherichia coli, a gram-negative organism, is the most common
bacterium that leads to UTIs, causing approximately 80% of these
infections. Many strains of E. coli are considered normal flora in the
intestines and are excreted in the stool. Improper wiping and poor hand
washing after toileting can lead to E. coli UTIs.
After Tara has remained afebrile for 24 hr, she is discharged from the
hospital on oral antibiotics. What is the most appropriate teaching
priority to discuss with Tara's mother?
A) Tara's toileting and wiping habits should be closely monitored.
B) Tara should drink plenty of water when taking oral antibiotics.
C) Tara should complete all her medication.
D) Tara needs to practice appropriate hand washing.
C) Tara should complete all her medication.
Rationale:
A-D. Tara should continue her course of antibiotics and finish all her
medication even if her condition improves and she no longer feels ill.
Failure to complete the antibiotic therapy could result in recurring
infection. Appropriate toileting and wiping are important to reduce the
risk of UTI, but they are not the most important steps in treating the
current infection. Many oral antibiotics require increased fluid intake,
, but discussing this is not the highest priority. Although discussing
proper hand washing is always a priority, it is not the most important
information to discuss with Tara's mother.
What is the most common cause of severe injury and death in school-
age children?
A) Burns
B) Drowning
C) Motor vehicle accidents
D) Cancer
C) Motor vehicle accidents
What is the most effective means to prevent accidents?
A) Purchase new equipment.
B) Supervise all activities.
C) Educate the child and family.
D) Hang posters in the school.
C) Educate the child and family.
Patrick always asks his mother why he cannot ride in the front seat of
the car beside her. At what age can a child be allowed to ride in the
front passenger seat of cars with air bags?
A) 11 years
B) 12 years
C) 5 years
D) It is based on height and weight, not age alone.
WITH 100% VERIFIED ANSWERS WITH
RATIONALE
Tara's probable diagnosis is urinary tract infection (UTI). What factors
place Tara at risk for developing UTIs?
A) Anatomical structure
B) Recent toilet training
C) Submersion in water during bathing or swimming
D) All of the above
D) All of the above
Rationale:
Very young girls have urethras that are only 2 cm in length, which allows
easier means for bacteria to enter the urinary tract. At this age, the
anus is close to the urethra, which can lead to fecal contamination of
the urethra.
Tara's recent toilet training and inexperience with proper hygiene can
increase her risk of UTI, especially if she has poor wiping techniques.
Girls should be taught to wipe from front to back to decrease the
chances of fecal contamination of the urethra.
Taking bubble baths can lead to UTIs. As children sit in the water, the
,oils in the bubble bath can irritate the urethra; showering is preferred.
All of the above factors do place Tara at risk for developing UTIs.
Based on Tara's presentation (UTI), what type of health care provider
prescription would the nurse anticipate receiving first?
A) Urinalysis and urine culture
B) Blood culture and complete blood count (CBC)
C) Lumbar puncture
D) Abdominal radiography
A) Urinalysis and urine culture
Rationale:
A urinalysis and urine culture must be obtained by either clean catch or
catheterization to correctly diagnose the probable UTI. The presence of
nitrites and leukocytes on the urinalysis confirms the diagnosis. The
urine culture is needed to identify the organism to ensure the
appropriate antibiotic is used to treat the infection.
A blood culture and CBC would be necessary if the patient had a fever
of unknown origin. Although a white blood cell count would reveal
infection, the urinalysis and urine culture tests are more focused on
Tara's physical findings and chief complaint.
Similar to the blood culture and CBC, a lumbar puncture may be
indicated if the child had a fever of unknown origin and headache or
dizziness. However, her symptoms are strictly related to her urinary
tract.
Abdominal radiography is indicated only if Tara experiences abdominal
pain without a probable cause. Her symptoms suggest a UTI as the
cause.
,Tara is admitted to the hospital for intravenous antibiotic therapy. Her
urine culture is positive for Escherichia coli, and her antibiotics are
changed to better treat this organism. Tara's mother asks for
information regarding this bacterium. What is an appropriate
response?
Escherichia coli, a gram-negative organism, is the most common
bacterium that leads to UTIs, causing approximately 80% of these
infections. Many strains of E. coli are considered normal flora in the
intestines and are excreted in the stool. Improper wiping and poor hand
washing after toileting can lead to E. coli UTIs.
After Tara has remained afebrile for 24 hr, she is discharged from the
hospital on oral antibiotics. What is the most appropriate teaching
priority to discuss with Tara's mother?
A) Tara's toileting and wiping habits should be closely monitored.
B) Tara should drink plenty of water when taking oral antibiotics.
C) Tara should complete all her medication.
D) Tara needs to practice appropriate hand washing.
C) Tara should complete all her medication.
Rationale:
A-D. Tara should continue her course of antibiotics and finish all her
medication even if her condition improves and she no longer feels ill.
Failure to complete the antibiotic therapy could result in recurring
infection. Appropriate toileting and wiping are important to reduce the
risk of UTI, but they are not the most important steps in treating the
current infection. Many oral antibiotics require increased fluid intake,
, but discussing this is not the highest priority. Although discussing
proper hand washing is always a priority, it is not the most important
information to discuss with Tara's mother.
What is the most common cause of severe injury and death in school-
age children?
A) Burns
B) Drowning
C) Motor vehicle accidents
D) Cancer
C) Motor vehicle accidents
What is the most effective means to prevent accidents?
A) Purchase new equipment.
B) Supervise all activities.
C) Educate the child and family.
D) Hang posters in the school.
C) Educate the child and family.
Patrick always asks his mother why he cannot ride in the front seat of
the car beside her. At what age can a child be allowed to ride in the
front passenger seat of cars with air bags?
A) 11 years
B) 12 years
C) 5 years
D) It is based on height and weight, not age alone.
