Ch 26 study guide and success book

T/F: Hydronephrosis occurs when interference with urine flow leads to a backup of urine

True

T/F: Prevention is the most important goal in both primary and recurrent infection

True

The parent of a child with glomerulonephritis asks the nurse why the urine is such a funny color. What is the nurse's best response?

There is blood in your child's urine that causes it to be tea-colored

T/F: urinary tract infections are commonly seen in patients with obstructive uropathy

True

What is the hallmark of minimal-change nephrotic syndrome?

massive proteinuria

A child presents with massive proteinuria, hypoalbuminemia, hyperlipedemia, and edema. Which of the following conditions are these symptoms associated with

nephrotic syndrome

The single most important diagnostic lab test to detect renal problems is the

urinalysis

which child is at risk for developing glomerulonephritis?

3 year old who had impetigo (caused by strep) 1 week ago

Which child does not need a urinalysis to evaluate for a UTI

an 8 year old male presenting with a finger laceration; mother states he had surgical re-implantation of his ureters 2 years ago

A child had a UTI 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed normal results, the child has had no other problems until this visit when the child was diagnosed with another UTI; which is the most appropriate plan?

obtain urinalysis and cultures

Which of the following symptoms are commonly associated with acute poststreptococcal glomerulonephritis?

oliguria, edema, hypertension, and circulatory congestion, hematuria, and proteinuria

A 7 year old girl presents with a UTI. what clinical manifestations of a UTI are common to this age group?

painful urination, swelling of the face, pallor, blood in urine, and abdominal or back pain

An infant is scheduled for a hypospadias and chordee repair. The parent tells the nurse, "I understand why the hypospadias repair is necessary, but do they have to fix the chordee as well?" Which is the nurse's best response?

"The repair is done to optimize sexual functioning when he is older."

T/F: hypertension is a common result of glomerulonephritis

True

The nurse is caring for a newborn with hypospadias. His parents ask if circumcision is an option. What is the nurse's best response?

circumcision is an option, but it cannot be done at this time

Which finding requires immediate attention in a child with glomerulonephritis?

complaining of a severe headache and photophobia (may be signs of encephalopathy due to hypertension)

List 4 objectives of the therapeutic management of the child with a UTI

eliminate current infection identify contributing factors to reduce the risk of recurrence prevent systemic spread of infection preserve renal function

what organism is the most common uropathogen for UTIs in children

escherichia coli

What are some common symptoms of Vesicoureteral reflux

high fevers vomiting chills

The clinical manifestations of nephrotic syndrome are due to

increased premeability of the glomeruli

What should the nurse teach a group of girls and her parents about the importance of preventing UTIs

increasing fluids will help prevent and treat UTIS

What combination of signs is commonly associated with glomerulonephritis

mild proteinuria, hematuria, decreased urinary output, and lethargy

which statement by a parent is most consistent with minimal change nephrotic syndrome

my child missed 2 days of school last week because of a really bad cold

In the newborn, renal abnormalities may be associated with a number of other malformations. which of the following malformations are most commonly associated with renal abnormalities in infants?

neural tube defects and abnormal shape or position of the out ear

The nurse is caring for a 4 year old who weighs 15 kg. At the end of a 10 hour shift the nurse notes the urine output to be 150 ml. What action does the nurse take?

record child's urine output in the chart

what are 4 objectives of therapeutic management of nephrotic syndrome?

reduce excretion of urinary protein reduce fluid retention in tissues prevent infection minimize complications r/t therapies

What are 4 common side effects of steroid therapy in children?

weight gain rounded moon face behavioral changes increased appetite

The parents of a child with glomerulonephritis ask how they will know their child is improving after they go home. Which are the nurse's best responses

your child's output will increase, and the urine will become less tea-colored your child's weight will increase as the urine becomes less tea-colored

The bladder capacity of a 3 year old is approximately

5 fluid ounces

T/F: Reflux causes febrile UTI

F: reflux increases the chance of a UTI but doesn't cause it

T/F: A child with acute poststreptococcal glomerulonephritis who presents with hypertension and edema does not need to be placed on a diet with moderate sodium restriction and even fluid restriction

False

T/F: Hypospadias is where the urethral opening is located on the dorsal surface of the penis

False

T/F: The hazard of progressive renal injury is greatest when infection occurs in older children

False