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NR 509 WEEK 6 PEDIATRIC SOAP NOTE BUNDLED SUBMISSION 2026 COMPREHENSIVE EVALUATION

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NR 509 WEEK 6 PEDIATRIC SOAP NOTE BUNDLED SUBMISSION 2026 COMPREHENSIVE EVALUATION

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NR 509 WEEK 6 PEDIATRIC SOAP NOTE
BUNDLED SUBMISSION 2026 COMPREHENSIVE
EVALUATION

◉ The nurse is reinforcing teaching with the caregiver of 5-year-old
twins regarding urinary tract infections (UTI's). The caregiver is
puzzled about why her daughter has had three urinary tract
infections but her son has had none. She reports that their diets and
fluid intake is similar. Which of the following statements would be
accurate for the nurse to tell this mother?


a) "It is unlikely that your daughter is practicing good cleaning
habits after she voids."
b) "Girls need more vitamin C than boys to keep their urinary tract
healthy, so your daughter may be deficient in vitamin C."
c) "A girl's urethra is much shorter and straighter than a boy's, so it
can be contaminated fairly easily."
d) "The position of the urethra in girls makes girls more susceptible
than boys to UTI's.". Answer: c) "A girl's urethra is much shorter and
straighter than a boy's, so it can be contaminated fairly easily."


Explanation:
Many different bacteria may infect the urinary tract, and intestinal
bacteria, particularly Escherichia coli, account for about 80% of

, acute episodes. The female urethra is shorter and straighter than the
male urethra, so it is more easily contaminated with feces.


◉ The nurse is caring for a child with nephrotic syndrome. The child
is noted to have edema. The edema would most likely be seen where
on this child?


a) Sacrum
b) Abdomen
c) Eyes
d) Fingers. Answer: c) Eyes


Explanation:
Edema is usually the presenting symptom in nephrotic syndrome,
appearing first around the eyes and ankles.


◉ The nurse is caring for an 8-year-old hospitalized child with
nephrotic syndrome. Which of the following nursing interventions
would be appropriate for this child?


a) Test the urine for ketones twice a day
b) Weigh the child once a week.
c) Administer antipyretics as needed.

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