The nurse has been invited to present a program at the local PTA meeting on recognizing and preventing illness in children. Which of the following sets of symptoms for urinary tract infections in children does the nurse include?
1. Foul-smelling urine, elevated BP, and hematuria
2. Severe flank pain, nausea, and headache
3. Headache, hematuria, and vertigo
4. Urgency, dysuria, and fever
4. Urgency, dysuria, and fever
Rationale:
Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria. While foul-smelling urine and hematuria can be present, there would be no elevated BP, headache, or vertigo. There could be flank pain, although the preschooler might not be able to describe it. Hematuria might be present, but there would be no complaints of headache or vertigo.
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