Exam 9 Chapters 31 & 39

A nurse is caring for a newborn who is formula fed. The newborn taks 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

90mL

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (select all that apply) a. urine dipstick +2 protein b. edema in the ankles c. hyperlipidemia d. polyuria e. anorexia

a, b, c, e

A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (select all that apply) a. prepare the infant for surgery b. test the infant's adrenal function c. cover the genitals with a sterile dressing d. refer the family for genetic counseling e. explain the need for a chromosomal analysis

a, b, d, e

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings would the nurse expect to observe? (select all that apply) a. ascites b. anorexia c. weight loss d. proteinuria e. decreased serum lipids f. periorbital and facial edema

a, b, d, f

A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? (select all that apply) a. bladder exstrophy b. inability to retract foreskin c. widened pubic symphysis d. urethral opening on the dorsal side of the penis e. pain

a, c, d

The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? (select all that apply) a. headache b. hypotension c. periorbital edema d. increased urine output e. a low blood urea nitrogen level

a, c, d

A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? (select all that apply) a. wear nylon underpants b. avoid bubble baths c. empty bladder completely with each void d. watch for manifestations of infection e. wipe perineal area back to front

b, c, d

A nurse is collecting data from a child who has a urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) a. night sweats b. swelling of the face c. pallor d. pale-colored urine e. fatigue

b, c, e

A nurse is collecting data from a child who has post-streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect? (select all that apply) a. pale urine b. periorbital edema c. ill appearance d. decreased creatinine e. hypertension

b, c, e

A nurse is collecting data from an infant who has a suspected urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) a. increase in hunger b. irritability c. decrease in urination d. vomiting e. fever

b, d, e

A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (select all that apply) a. decreased urine flow b. urinary tract infection c. history of maternal polyhydramnios d. concentrated urine e. hydronephrosis

b, e

What situation will most likely be noted in the history for a child diagnosed with acute glomerulonephritis? a. Sibling diagnosed with the same disease b. Recent illness, such as strep throat c. Hemorrhage or history of bruising easily d. Hearing loss with impaired speech development

b. Recent illness, such as strep throat

The pediatric nurse is administering oral liquid medication to a 4 year old child. Which statement by the nurse indicates an understanding of the child's developmental level? a. your mom will help me hold your hands b. would you like orange or apple juice to drink after you take your medicine c. you can make a poster of the schedule for all your medications d. this booklet tells all about how this medicine works

b. would you like orange or apple juice to drink after you take your medicine

A nurse is collecting data from a client who has a urine output of 250 mL in a 24 hours period. Which of the following terms should the nurse use to document this finding in the electronic record? a. dysuria b. urgency c. nocturia d. oliguria

d. oliguria

The dosage range of demerol for a school-aged child is 1.1/mg/kg to 1.8mg/kg. Of the following which would be appropriate to give a school-age child who weighs 76lbs.? a. 24.4 b. 30 c. 60 d. 110

c. 60

The nurse is calculating a medication dosage for an infant who weighs 16 lb. How many kilograms does the child weigh? a. 0.72 kg b. 1.7 kg c. 7.3 kg d. 9 kg

c. 7.3 kg

A parents with a 6-year-old child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching? a. I make sure that my child goes potty before going to bed b. I will praise my child and think of a reward for him to staying dry c. I take away privileges such as TV time when the bed is wet in the morning d. I make sure that my child does not have any thing to drink 2 hours before bedtime

c. I take away privileges such as TV time when the bed is wet in the morning

A nurse is collecting data from a child who has chronic kidney disease. Which of the following findings should the nurse expect? a. flushed face b. hyperactivity c. weight gain d. delayed growth

d. delayed growth

A nurse is contributing to plan of care for child who has a urinary tract infection. Which of the following interventions should the nurse include? a. administer an antidiuretic b. restrict fluids c. evaluate the child's self-esteem d. encourage frequent voiding

d. encourage frequent voiding

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response would the nurse give to the parents about bladder exstrophy? a. it is a hereditary disorder that occurs in every other generation b. it is caused by the use of medications taken by the mother during pregnancy c. it is a condition in which the urinary bladder is abnormally located in the pelvic cavity d. it is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall

d. it is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall

The nurse is reinforcing teaching with the family caregiver of a 5-year-old child diagnosed with nephrotic syndrome regarding the no-added-salt diet the child has been placed on. In addition to not adding salt to foods, the nurse has discussed with the caregiver that helping the child avoid foods high in sodium is also recommended. The caregiver marks the following foods on the child's menu selection for the next day. The nurse recognizes the family caregiver needs further teaching regarding foods high in sodium when which of the following foods were selected? (Select all that apply) a. Scrambled eggs with ham b. Apple juice c. Macaroni and cheese d. Hot dog in bun e. Fresh green beans f. Canned peaches

a, c, d

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper to which of the following amounts of urine? a. 1 mL b. 5 mL c. 15 mL d. 30 mL

a. 1 mL

In caring for a child with a UTI, the nurse would perform the following nursing interventions. What intervention would be the highest priority for this child? a. The nurse will collect a "clean catch" voided urine. b. The nurse will observe for possible indications of sexual abuse. c. The nurse will instruct the caregivers to avoid bubble baths, especially in young girls. d. The nurse will remind girls to wipe from front to back.

a. The nurse will collect a "clean catch" voided urine.

A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? a. blood protein 5.0 b. Hgb 14.5 c. Hct 40 d. platelet 200,000

a. blood protein 5.0

A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect? a. increased respiratory rate b. decreased heart rate c. increased platelet count d. decreased hematocrit

a. increased respiratory rate

A nurse is caring for a school-age who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe? a. low-sodium, fluid restricted b. regular diet, no added salt c. low-carbohydrate, low-protein diet d. low-protein, low-potassium diet

a. low-sodium, fluid restricted

A nurse is caring for an 8 month-old infant who is receiving intravenous fluids via a 24 gauge catheter. Which of the following statements by the client's mother indicates that the nurse should check the site of infiltration? a. my baby's finger are looking swollen b. the tape is coming off the IV needle c. there's blood backing up my baby's IV tubing d. there's a long red streak up my baby's arm

a. my baby's finger are looking swollen

Infusion pumps and volume control devices are used when children are given IV fluids. The most important reason these devices are used is to a. regulate the rate of the infusion b. decrease the size of the drops delivered c. reduce the chance of infiltration d. administer medications

a. regulate the rate of the infusion

A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following? a. urinary tract infection b. urinary incontinence c. urinary frequency d. urinary retention

a. urinary tract infection

When administering an IM injection to a 4-month old infant, the best injection site to use would be the? a. vastus lateralis b. ventrogluteal c. deltoid d. dorsogluteal

a. vastus lateralis

A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect? a. weak pulse b. bradycardia c. hypertension d. distended neck veins

a. weak pulse

After discussing ways to lower a fever with the family caregiver of an infant who has a UTI, the caregiver makes the following statements. Which statement indicates an understanding of appropriate ways to lower an infant's temperature? a. "I will give my child baby aspirin when she has a fever." b. "I know I need to dress my baby lightly if she has a fever." c. "When my baby has a fever, I will sponge her in cold water for 20 minutes." d. "I need to recheck my baby's temperature until it is below 97°F."

b. "I know I need to dress my baby lightly if she has a fever."

In caring for a child with nephrotic syndrome, what intervention will be included in the child's plan of care? a. Ambulating three to four times a day b. Weighing on the same scale each day c. Increasing fluid intake by 50 mL an hour d. Testing the urine for glucose levels regularly

b. Weighing on the same scale each day

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure would the nurse stress to the parents as they prepare to take this child home? a. leave diapers off to allow the site to heal b. avoid tub baths until stent has been removed c. encourage toilet training to ensure that the flow of urine is normal d. restrict the fluid intake to reduce urinary output for the first few days

b. avoid tub baths until stent has been removed

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which findings? a. hematuria b. bacteriruria c. glucosuria d. proteinuria

b. bacteriruria

A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? a. BUN 8 b. blood creatinine 1.3 c. blood pressure 100/74 d. urine output 550mL in 24 hr

b. blood creatinine 1.3

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority? a. place the child on a no-salt added diet b. check the child's weight daily c. educate the parents about potential complications d. maintain a saline-lock

b. check the child's weight daily

A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output during the past 8 hr. Which of the following actions should the nurse take? a. notify the provider b. continue to monitor the client c. provide oral rehydration fluids c. perform a bladder scan at the bedside

b. continue to monitor the client

A nurse is caring for a child who has enuresis. The nurse should identify that which of the following conditions is a complication of enuresis? a. urinary tract infections b. emotional problems c. urospesis d. progressive kidney disease

b. emotional problems

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? a. prepare the infant for surgery b. explain to the guardians that the issue generally self-revolves c. retract the foreskin and cleanse several times daily d. refer the family for genetic counseling

b. explain to the guardians that the issue generally self-revolves

The nurse is assisting with gather admission assessment data on a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that which is a common characteristic associated with nephrotic syndrome? a. hypotension b. generalized edema c. increased urinary output d. frank, bright blood in urine

b. generalized edema

A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority? a. schedule the child for an abdominal ultrasound b. instruct the parent to avoid pressing on the abdominal area c. determine if the child is having pain d. obtain a urine specimen for a urinalysis

b. instruct the parent to avoid pressing on the abdominal area

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect? a. polyuria b. periorbital edema c. orange-tinged urine d. hypertension

b. periorbital edema

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority? a. blood glucose 110 b. potassium 2.5 c. sodium 142 d. urine specific gravity 1.025

b. potassium 2.5

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene? a. it will be easier to use your nondominant hand to spread the labia b. use the provided towelette to cleanse the are by moving in a back and forth motion c. start the flow of urine before passing the container under the stream to collect the specimen d. remove the specimen container before stopping the stream of urine

b. use the provided towelette to cleanse the are by moving in a back and forth motion

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child? a. broth b. cherry gelatin c. apple juice d. pedialyte

d. pedialyte