While presenting a panel discussion to a group of parents about ...

[jasdeep_brar]

While presenting a panel discussion to a group of parents about urinary tract infections in children, one of the parents asks the nurse, Why would my daughter be more at risk than my son? Which response by the nurse would be most accurate?
 
  A) Girls have a smaller bladder size than boys do..
  B) A girl's urethra is closer to the rectal opening..
  C) A girl's urethra is longer than a boy's urethra..
  D) Her kidneys are less well protected..

Question 2

A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?
 
  A) Develop a schedule for bladder emptying
  B) Encourage fluid intake
  C) Assess usual voiding patterns
  D) Monitor intake and output

[fatboyy09]

Answer to Question 1

B
Feedback:
In females, the urethra is shorter, which allows bacteria to enter the bladder. It also is closer in physical proximity to the rectum, leading to possible contamination. Bladder size does not differ between boys and girls. The kidneys are less well protected in the abdomen, increasing the risk for injury but not urinary tract infections.

Answer to Question 2

C
Feedback:
The first action would be to assess the child's usual voiding patterns to establish a baseline to develop an appropriate schedule for bladder emptying. Encouraging fluid intake and monitoring intake and output would be appropriate, but these would not be the first action.