Deck 26: Alterations in Genitourinary Function

Question 1

A 10-year-old diagnosed with chronic renal failure is seen at the dialysis center for dialysis treatment three times a week. The child weighs 35 pounds after dialysis.
Physician's order: Epogen 50 U/kg three times weekly after dialysis.
Medication on hand: Epogen 2000 U/mL
Calculate how many ml of Epogen the child should receive three times a week.

Answer 1

0.38 mL

Question 2

The nurse educator is teaching a group of nursing students the pathophysiologic reasons related to genitourinary (GU) disorders in the pediatric population. Which statements are appropriate for the nurse educator to include in the teaching session? Select all that apply.
1) "Incomplete organ development during fetal development is the cause of many GU disorders."
2) "Improper placement of the urethra in vagina is one cause of GU disorders."
3) "GU disorders in the pediatric population can be caused by hydronephrosis."
4) "GU disorders in the pediatric population are not caused by infections."
5) "Anatomic obstruction or incomplete nerve innervation can cause GU disorders."

Answer 2

1, 3, 5

Question 3

Which symptoms are characteristic of a preschool-age client who is diagnosed with a urinary tract infection?
1) Foul-smelling urine, elevated blood pressure, and hematuria
2) Severe flank pain, nausea, headache
3) Headache, hematuria, vertigo
4) Urgency, dysuria, fever

Answer 3

4

Question 4

A child, in renal failure, is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid?
1) Carrots and green, leafy vegetables
2) Chips, cold cuts, and canned foods
3) Spaghetti and meat sauce, breadsticks
4) Hamburger on a bun, cherry gelatin

Question 5

A nurse is preparing to admit a child with possible obstructive uropathy. Which laboratory test should the nurse expect to draw on this child?
1) Platelet count
2) Blood urea nitrogen (BUN) and creatinine
3) Partial thromboplastin time (PTT)
4) Blood culture

Question 6

A child is prescribed hemodialysis for the treatment of kidney failure. When providing care for this child, what will the nurse monitor for during the assessment? Select all that apply.
1) Shock
2) Hypotension
3) Infections
4) Migraines
5) Fluid overload

Question 7

The nurse is preparing an educational session for sexually active adolescents. Which statements are appropriate for the nurse to include when educating about sexually transmitted infections (STIs)? Select all that apply.
1) "Frequently diagnosed STIs include chlamydia, genital herpes, gonorrhea, human papillomavirus, trichomoniasis, and syphilis."
2) "Your risk for contracting an STI can be decreased by using a condom when having sex."
3) "Birth control pills are useful in decreasing your risk of contracting an STI."
4) "Risk factors for pelvic inflammatory disease (PID) include multiple sexual partners, lack of barrier protection during intercourse, and history of an STI."
5) "Pelvic inflammatory disease (PID) is an infection of the lower genital tract."

Question 8

A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?
1) Reposition the child every 2 hours.
2) Monitor BP every 30 minutes.
3) Encourage fluids.
4) Limit visitors.

Question 9

A child is scheduled for a kidney transplant. The nurse completes the preoperative teaching to prepare the child and parents for the surgery and postoperative considerations. Which statement by the parents indicates understanding of the teaching session?
1) "We know it's important to see that our child takes prescribed medications after the transplant."
2) "We'll be glad we won't have to bring our child in to see the doctor again."
3) "We're happy our child won't have to take any more medicine after the transplant."
4) "We understand our child won't be at risk anymore for catching colds from other children at school."

Question 10

A preschool-age client is diagnosed with acute glomerulonephritis and is admitted to the hospital. Which nursing diagnosis is most appropriate for this client?
1) Risk for Injury Related to Loss of Blood in Urine
2) Fluid-Volume Excess Related to Decreased Plasma Filtration
3) Risk for Infection Related to Hypertension
4) Altered Growth and Development Related to a Chronic Disease

Question 11

The nurse teaches parents that the anticholinergic drug oxybutynin is used to treat enuresis. The parents ask the nurse why the medication is being prescribed. Which response by the nurse is the most appropriate?
1) "It's an antidepressant that is used to help the child relax."
2) "It will help decrease the spasms sometimes associated with enuresis."
3) "It has an antidiuretic effect, so your child can attend sleepovers."
4) "It will slow the production of urine, so your child does not have to urinate as frequently."

Question 12

The nurse is providing care to a male infant who is diagnosed with hypospadias. Which clinical manifestation does the nurse anticipate when assessing this infant?
1) A urethral meatus that is located on the ventral surface of the penis
2) The presence of foreskin
3) A small opening or a fissure that extends the entire length of the penis
4) An opening on the dorsal surface of the penis

Question 14

The nurse is preparing to discharge a toddler-age client who just had an orchiopexy. Which discharge instruction is appropriate for this client?
1) Information to the parents about the child's resuming normal vigorous activities
2) Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up
3) Explanation to the parents about the need for loose, nonrestrictive clothing
4) Reassurance to the parents that infertility is not a future risk

Question 15

A preschool-age client diagnosed with nephrotic syndrome is placed on prednisone for several weeks. Which teaching point is appropriate for the nurse to include in the teaching plan for this client?
1) Never stop the medication suddenly.
2) This drug is taken once a week on Sunday.
3) The child should always take the medication at night before bed.
4) This drug should be taken with meals.

Question 16

A child diagnosed with acute glomerulonephritis is in the playroom and experiences blurred vision and headache. Which action by the nurse is the most appropriate?
1) Check the urine to see if hematuria has increased.
2) Obtain a blood pressure on the child; notify the healthcare provider.
3) Reassure the child, and encourage bed rest until the headache improves.
4) Obtain serum electrolytes, and send a urinalysis to the lab.

Question 17

A child is admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). Which clinical manifestations does the nurse anticipate when conducting the admission assessment?
1) Hematuria, bacteriuria, weight gain
2) Gross hematuria, albuminuria, fever
3) Massive proteinuria, hypoalbuminemia, edema
4) Hypertension, weight loss, proteinuria

Question 18

A child recently had a kidney transplant and is prescribed cyclosporine. The parents ask the nurse about the reason for the cyclosporine. Which reason will the nurse include in the response for why this medication is prescribed?
1) To boost immunity
2) To suppress rejection
3) To decrease pain
4) To improve circulation