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    N158 nursing care of infants proctored exam (paediatrics)

    For a child who is post-surgical correction of vesicoureteral reflux (VUR), indicate whether each nursing action is Recommended or Not Recommended.

    Explanation & Rationale

    Assess for fever and flank pain: Recommended, since these are warning signs of postoperative infection or pyelonephritis. Early recognition is essential to prevent complications. Monitor urine output hourly: Recommended, because strict measurement of urine output helps assess renal perfusion and ureteral function after surgical correction. Oliguria or anuria may indicate obstruction or renal impairment. Encourage low fluid intake to reduce bladder stress: Not recommended, as adequate hydration is important to flush the urinary tract and prevent stasis or infection. Restricting fluids increases the risk of complications. Monitor blood pressure regularly: Recommended, since children with urinary tract surgery are at risk for hypertension related to renal involvement. Regular monitoring allows early detection and management.

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