Ch 41 Renal & Urinary Disorders

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. When analyzing the results of the urinalysis, which should the nurse most likely expect to note? 1. hematuria 2. proteinuria 3. bacteriuria 4. glucosuria

3. bacteriuria

The nurse performing an admission assessment on a 2 yo child who has been diagnosed with nephrotic syndrome notes that which most common characteristic is associated with this syndrome? 1. hypertension 2. generalized edema 3. increased urinary output 4. frank, bright red blood in the urine

2. generalized edema

The nurse is performing an assessment on a child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which assessment findings should the nurse expect to observe? Select all that apply. 1. pallor 2. edema 3. anorexia 4. proteinuria 5. weight loss 6. decreased serum lipids

1. pallor 2. edema 3. anorexia 4. proteinuria

The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure? 1. restrict fluids as prescribed 2. care for the arteriovenous fistula 3. encourage foods high in potassium 4. administer analgesics as prescribed

1. restrict fluids as prescribed

The nurse reviews the record of a child who is suspected to have glomerulonephritis. Which statement by the child's parent should the nurse expect that is associated with this diagnosis? 1. "i'm so glad they didn't find any protein in his urine" 2. "i noticed his urine was the color of coca-cola lately" 3. "his HCP said his kidneys are working well" 4. "the nurse who admitted my child said his blood pressure was low"

2. "i noticed his urine was the color of coca-cola lately"

The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1. cover the bladder with petroleum jelly guaze 2. cover the bladder with a nonadhering plastic wrap 3. apply sterile distilled water dressings over the bladder mucosa 4. keep the bladder tissue dry by covering it with dry sterile gauze

2. cover the bladder with a nonadhering plastic wrap

The nurse is reviewing a treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan? 1. "caution should be used when straddling the infant on a hip" 2. "vital signs should be taken daily to check for bladder infection" 3. "catheterization will be necessary when the infant does not void" 4. "circumcision has been delayed to save tissue for surgical repair"

4. "circumcision has been delayed to save tissue for surgical repair"

Which question should the nurse ask the parents of a child suspected of having glomerulonephritis? 1. "did your child fall off a bike onto the handlebars?" 2. "has the child had persistent nausea and vomiting?" 3. "has the child been itching or had a rash anytime in the last week?" 4. "has the child had a sore throat or a throat infection in the last few weeks?"

4. "has the child had a sore throat or a throat infection in the last few weeks?"

The nurse provided discharge instructions to the parents of a 2 yo child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates the need for further instruction? 1. "i'll check his temperature" 2. "i'll give him medication so he'll be comfortable" 3. "i'll check his voiding to be sure there's no problem" 4. "i'll let him decide when to return to his play activities"

4. "i'll let him decide when to return to his play activities"

A 7 yo child is seen in a clinic, and the HCP documents a diagnosis of primary nocturnal enuresis. The nurse should provide which information to the parents? 1. primary nocturnal enuresis does not respond to treatment 2. primary nocturnal enuresis is caused by a psychiatric problem 3. primary nocturnal enuresis requires surgical intervention to improve the problem 4. primary nocturnal enuresis is usually outgrown without therapeutic intervention

4. primary nocturnal enuresis is usually outgrown without therapeutic intervention