The parents of a child diagnosed with vesicoureteral reflux (VUR) ...

[P68T]

The parents of a child diagnosed with vesicoureteral reflux (VUR) want to know why their child's kidneys appear large on an abdominal x-ray. Which response by the nurse is the most appropriate?
 
  A.
  Enlarged due to urine backup
  B.
  Genetic defect causing VUR
  C.
  Multiple tumors
  D.
  Unrelated finding

Question 2

An acutely ill child is admitted for a suspected severe urinary tract infection (UTI). Which is the priority action by the nurse?
 
  A.
  Administer broad-spectrum antibiotics as ordered.
  B.
  Obtain a urine sample for culture and sensitivity.
  C.
  Start an IV line for aggressive fluid resuscitation.
  D.
  Teach the parents how to prevent future UTIs.

[mmj22343]

Answer to Question 1

ANS: A
In VUR, urine backflows into the kidneys, causing hydronephrosis, or distention of the kidneys. The other answers are incorrect.

Answer to Question 2

ANS: B
Antibiotics need to be started as soon as possible, but it is imperative to obtain a urine sample for a culture and sensitivity to guide medication choices first. While awaiting the results, the nurse will administer a broad-spectrum antibiotic. The child does need an IV, but there is no indication that the child needs aggressive fluid resuscitation. Teaching is always an important task, but does not take priority over obtaining the sample for urinalysis.

[P68T]

Thanks for the timely response, appreciate it

[bitingbit]

Excellent