chapter 24 gu
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged because of this. Which of the following responses would be most appropriate?
"The child's risk for renal scarring is increased with pyelonephritis."
The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position?
A Fowler's position (sitting upright) allows ascites fluid to settle downward and not press against the diaphragm, compromising breathing.
A 3-year-old child is exhibiting irritability, fever, and decreased appetite. A recent history of which of the following would make the nurse suspicious of a urinary tract infection (UTI)?
Abdominal pain
A child diagnosed with acute glomerulonephritis will most likely have a history of:A child who has been diagnosed with minimal change nephrotic syndrome (MCNS) is being discharged after a 3-week hospitalization. Her edema has been greatly reduced and her appetite is beginning to return. Her caregivers have promised to have a family party to celebrate her return. The child has requested the following food for the party. Which food would the nurse suggest would be appropriate for the diet this child is on?
Banana splits
The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is most helpful? Select all that apply.
Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males. fever is common
A child with acute kidney injury is experiencing anemia. Which of the following would the nurse expect to administer?
Epoetin alfa
The nurse knows that which statement is a description of peritoneal dialysis when compared to hemodialysis:
The child can live a more normal lifestyle.
A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of the following situations would require immediate attention by the nurse?
The child does not have intravenous access.
The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?
The child has a greater risk for trauma to the kidney.
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged because of this. What is the best response by the nurse?
The child's risk for renal scarring is increased with pyelonephritis.
The nurse is discussing urinary tract infections (UTI's) in children with a group of peers. Which fact is the most accurate regarding urinary tract infection seen in children?
The most common age for UTIs in children is 2 to 6 years of age.
Which instructions should a nurse give to a client who has a history of urinary tract infections to prevent recurrence? Select all that apply.
Wipe from front to back. Finish all antibiotics prescribed. Encourage fluids throughout the day.
The nurse is caring for a child who receives dialysis via an AV fistula. Which finding indicates an immediate need to notify the physician?
absence of a thrill
A client has just been admitted to the unit with a history of recent strep infection, hematuria, and proteinuria. Based on these findings, the nurse would suspect which condition?
acute glomerulonephritis
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
hypertension
Most urinary tract infections seen in children are caused by:
intestinal bacteria.
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is:
obtaining a clean catch voided urine.
A child diagnosed with acute glomerulonephritis will most likely have a history of:
recent illness such as strep throat.
Which of these laboratory results would be most important for the nurse to assess in a child who has a diagnosis of urinary tract infection?
urinalysis
