Deck 54: The Child With Alterations in Genitourinary Function

Question 1

A child with acute glomerulonephritis is in the playroom,and experiences blurred vision and headache.Which action should be taken by the nurse?

A)Check the urine to see if hematuria has increased.
B)Obtain a blood pressure reading on the child and notify the physician.
C)Reassure the child and encourage bedrest until the headache improves.
D)Obtain serum electrolytes and send urinalysis to the lab.

Answer 1

Obtain a blood pressure reading on the child and notify the physician.

Question 2

A child is admitted with acute glomerulonephritis.The nurse would expect the urinalysis during this acute phase to show which results?

A)Bacteriuria,hematuria
B)Hematuria,proteinuria
C)Bacteriuria,increased specific gravity
D)Proteinuria,decreased specific gravity

Answer 2

Hematuria,proteinuria

Question 3

Which symptoms are characteristic of a preschool-age child with a urinary tract infection?

A)Foul-smelling urine,elevated blood pressure BP,hematuria
B)Severe flank pain,nausea,headache
C)Headache,hematuria,vertigo
D)Urgency,dysuria,fever

Answer 3

Urgency,dysuria,fever

Question 4

A 4-year-old has acute glomerulonephritis,and is admitted to the hospital.Which is an appropriate nursing diagnosis for this child?

A)Risk for injury related to loss of blood in urine
B)Fluid volume excess related to decreased plasma filtration
C)Risk for infection related to hypertension
D)Altered growth and development related to a chronic disease

Question 5

A child in renal failure has hyperkalemia.The nurse plans to instruct the child and the parents to avoid which of the following foods?

A)Bananas,carrots,and green leafy vegetables
B)Chips,cold cuts,and canned foods
C)Spaghetti and meat sauce,and breadsticks
D)Hamburger on a bun and cherry Jell-O

Question 6

A child has undergone a kidney transplant,and is receiving cyclosporine.The parents ask the nurse about the reason for the cyclosporine.Which is the correct explanation of the drug's purpose?

A)It boosts immunity.
B)It suppresses rejection.
C)It decreases pain.
D)It improves circulation.

Question 7

A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome.The clinical manifestations will include which signs and/or symptoms?

A)Hematuria,bacteriuria,weight gain
B)Gross hematuria,albuminuria,fever
C)Massive proteinuria,hypoalbuminemia,edema
D)Hypertension,weight loss,proteinuria

Question 8

A nurse is preparing to admit a child with possible obstructive uropathy.The nurse should expect to draw which lab on this child?

A)Platelet count
B)BUN and creatinine
C)Partial thromboplastin time (PTT)
D)Blood culture

Question 9

The nurse teaches parents that the anticholinergic drug used to treat enuresis is:

A)Desmopressin acetate (DDAVP).
B)Oxybutynin (Ditropan).
C)Imipramine (Tofranil).
D)Spironolactone (Aldactone).

Question 10

A child is undergoing hemodialysis.For which complication should the child be concerned?

A)Shock
B)Hypertension
C)Neutropenia
D)Headaches

Question 11

Which should be included in discharge instructions for care of a child after an orchiopexy?

A)Information to the parents about the child resuming normal vigorous activities
B)Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up
C)Explanation to the parents about the need for loose and nonrestrictive clothing
D)Reassurance to the parents that infertility is not a future risk

Question 12

The nurse is performing a newborn assessment on a male infant with hypospadias.Identify which picture depicts the expected assessment finding.

Question 13

A child is scheduled for a kidney transplant.The nurse has completed the preop teaching to prepare the child and parents for the surgery and postop considerations.The nurse will know the parents realistically understand the transplantation process that is involved with a kidney transplant if they make which statement?

A)"We know it's important to see that our child takes prescribed medications after the transplant."
B)"We'll be glad we won't have to bring our child in to see the doctor again."
C)"We're happy our child won't have to take any more medicine after the transplant."
D)"We understand our child won't be at risk anymore for catching colds from other children at school."

Question 14

A child with nephrotic syndrome is severely edematous.The doctor has placed him on bedrest.Which would be an important nursing intervention for this child?

A)Reposition the child every 2 hours.
B)Monitor blood pressure every 2 hours.
C)Encourage fluids.
D)Limit visitors.

Question 15

A child with nephrotic syndrome has been placed on prednisone.The nurse knows that for this syndrome,prednisone will be given how often?

A)Daily for 6 weeks,then 6 weeks of alternate-day doses
B)Daily for 1 week
C)On a short-burst schedule
D)Infrequently