UTI
A 3-year-old has a recurrent UTI. She had a UTI 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed results within normal range. The child has had no other problems until this visit when the child was diagnosed with another UTI. what is the most appropriate plan? 1. The nurse should prepare for the following tests: urinalysis, urine culture, and VCUG. 2. Signs and symptoms of renal failure should be evaluated. 3. The nurse should prepare the child for likely admission to the pediatric unit. 4. Send the child home on an antibiotic and instruct the parent to offer the child lots of fluids.
1. urinarlysis and urine culture are routinely used to diagnose UTI's. VCUG is used to determine the extent of urinary tract involvement when a child has a second UTI within 1 year
Which of the following patients can be discharged without the need for a urinalysis to evaluate for a UTI? 1. A 4-month-old female who presents with a 2-day history of fussiness and poor appetite; her current vital signs include T 100.8°F (38.2°C) (axillary) and heart rate 120 beats per minute. 2. A 4-year-old female who states "it hurts when I pee"; her parent states that she has been asking to urinate every 30 minutes; vital signs are within normal range. 3. An 8-year-old male who presents with a finger laceration; his mother states he had surgical reimplantation of his ureters 2 years ago. 4. A 12-year-old female complaining of pain to her lower right back; she denies any burning or frequency at this time; she has an oral temperature of 101.5°F (38.6°C).
3. although this child has a hx of urinary infections, the child is currently not displaying any signs and therefore does not need a urinalysis at this time
a nurse is caring for a toddler scheduled for a urine culture and sensitivity test. What is the best way for the nurse obtain the sample 1.Obtain a bagged urine specimen 2.Teach the parent how to obtain a clean catch urine sample 3.Monitor the child until a first voided urine specimen can be obtained 4.Obtain an odor for intermittent catheterization
4
The nurse is instructing a group of girls and parents about the importance of preventing UTIs. Which of the following should the nurse teach? 1. Avoiding constipation has no effect on the occurrence of UTIs. 2. After urinating, always wipe from back to front to prevent fecal contamination. 3. Hygiene is an important preventive measure and can be accomplished with frequent tub baths. 4. Increasing fluids will help prevent and treat UTIs.
4. increasing fluids will help flush the bladder of any organism, encourage urination and prevent stasis of urine
An 8-month-old is being evaluated for a UTI. A urinalysis and urine culture are ordered. Which of the following is the best way to obtain the urine sample? 1. Carefully cleanse the perineum from front to back, and apply a self-adhesive urine collection bag to the perineum. 2. Insert an indwelling Foley catheter and begin antibiotic administration. 3. Place a sterile cotton ball in the diaper, and immediately obtain the sample with a syringe after the first void. 4. Using a straight catheter, obtain the sample, and immediately remove the catheter without waiting for the results of the urine sample.
4.an in and out catheterization is the best way to obtain a urine culture in a child who is not yet toilet trained
A mother reports that her 6yo daughter recently began wetting the bed and running a low grade fever. A dx of UTI was made following a urinalysis that came back positive for bacteria and protein. Antibiotics have been prescribed for the child. What are appropriate nursing inteventions. Select all that apply 1.Limit fluid for the next few days to decrease the frequency of urination 2.Asses the mothers understanding of a UTI and its causes 3.Instruct the mother to administer all the antibiotic as prescribed until the prescription is finished 4.Provide instruction solely to the mother not the child 5.Discourage the taking of bubble baths 6.Advise wiping from back to the frton after voiding and defecation
2,3,5
