Which sets of symptoms are characteristic of a preschool-age ...

[jjjetplane]

Which sets of symptoms are characteristic of a preschool-age child with a urinary tract infection?
 
  1. Headache, hematuria, and vertigo
  2. Foul-smelling urine, elevated blood pressure, and hematuria
  3. Urgency, dysuria, and fever
  4. Severe flank pain, nausea, and headache

Question 2

A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective.
 
  Which would be the most appropriate action for the nurse to take? 1. Instruct the father to hold the toddler down tightly to complete the examination.
  2. Allow the toddler to sit on the parent's lap and begin the assessment.
  3. Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
  4. Allow the toddler to stand on the floor until the crying stops.

[jaygar71]

Answer to Question 1

3
Rationale 1: Hematuria might be present, but there will be no complaints of headache or vertigo.
Rationale 2: While foul-smelling urine and hematuria can be present, there is no elevated BP, headache, or vertigo.
Rationale 3: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria.
Rationale 4: There could be flank pain, although the preschooler might be unable to describe it. There will be no complaints of headache.
Global

Answer to Question 2

2
Rationale 1: The father should not be asked to restrain the child for the entire examination.
Rationale 2: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way.
Rationale 3: If a child needs to be subdued, then another nurse should be the one to assist. However, in this case the goal is to calm the child so that the assessment can be completed.
Rationale 4: Allowing the toddler to stand on the floor is not going to calm the child so that the assessment can be completed.
Global Rationale:

[jjjetplane]

TYSM

[upturnedfurball]

Excellent