Answer to Question 1
B
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A Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits scant amounts of strong-smelling urine of a very dark orange or brown color.
B Correct. The nurse assessing a child who has a urinary tract infection will suspect pyelonephritis rather than cystitis then the child exhibits fever greater than 38.3 degrees C (101 degrees F), chills, back pain, and appears quite ill.
C Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits low-grade fever, urgency, hesitancy, burning on urination, and cloudy urine. These are manifestations of cystitis.
D Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits low specific gravity of urine, extreme thirst, and nausea and vomiting.
Answer to Question 2
C
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A Incorrect. Managed care systems measure quality of care, but this is not the highest concern.
B Incorrect. Managed care systems measure satisfaction of recipients of care, but this is not the highest concern.
C Correct. Managed care systems are most concerned with cost-effective delivery of health care services, i.e., cost containment.
D Incorrect. Quick referrals to specialists is not a path to cost containment.
Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter.
Child with bacterial meningitis in an opisthotonic position.
Nurse's hand over patients abdomen
Comparing fossil patterns of the Hadar Baby, the Taung Child, and Au. Robustus.
Anatomy of the urinary system.
Levels of hepatitis A antigens and antibody after infection.