The nurse is caring for a 6-month-old infant who has been brought ...

[james9437]

The nurse is caring for a 6-month-old infant who has been brought to the pediatrician's office with another suspected urinary tract infection. The infant has had two urinary tract infections since birth. The nurse suspects:
 
  1. Sexual abuse.
  2. Renal failure.
  3. Obstructive uropathy.
  4. Wilms' tumor.

Question 2

The nurse is examining the client's mouth, and discovers leukoplakia. In response to questioning from the nurse, the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:
 
  1. An order to provide thorough mouth care.
  2. A biopsy will be performed.
  3. An antifungal medication order.
  4. A dental consult.

[djpooyouma]

Answer to Question 1

3
Rationale: The nurse would suspect obstructive uropathy because failure of the passage of urine can cause urinary retention, resulting in UTI. Further testing will be needed to diagnose the problem.

Answer to Question 2

2
Rationale: Leukoplakia is a smooth, irregular white patch found on the tongue, lips, cheeks, or oral mucosa that can be rubbed off with force and is considered a precursor to oral cancer. A patch that lasts more than two weeks generally is biopsied.

[james9437]

Excellent

[shewald78]

Thanks for the timely response, appreciate it