NCLEX Child Health- Renal and Urinary

A child is admitted to the hospital with a diagnosis of nephrotic syndrome. The nurse reads the child's medical record and expects to note documentation of which manifestations of this disorder? Select all that apply.

1. Edema 2. Proteinuria 3. Abdominal pain 4. Increased weight 5. Hypoalbuminemia

The child with spina bifida (myelomeningocele) is diagnosed with a neurogenic bladder and hydronephrosis. Which information is used in developing a care plan related to hydronephrosis? Select all that apply.

1. Protein found in the urine 2. Results from urinary vesicoureteral reflux

The nurse is caring for a 7-year-old child with glomerulonephritis and discusses the plan of care with the parents, who are upset about the diagnosis. The nurse anticipates which common initial reaction of parents to the diagnosis of glomerulonephritis?

Guilt that they did not seek treatment more quickly

The nurse provides home care instructions to the mother of a child with glomerulonephritis. Which statement by the mother indicates a need for further instructions?

I need to be sure to increase my child's intake of fluids

A nursing student is assigned to care for a child after surgery to correct cryptorchidism. The nursing instructor reviews the plan of care the student has developed and determines that the student has adequately prepared to care for the child if what is identified as the priority in the plan?

Prevent tension on the suture

The home care nurse visits the family of a 2-year-old child who was recently discharged from the hospital after treatment for nephrotic syndrome. Which statement by the parents indicates that there is a need for further teaching?

We're giving him his prednisone whenever he gains more than a pound a day

The nurse is performing an assessment on a child admitted to the hospital with a diagnosis of nephrotic syndrome. What should the nurse expect to note during the assessment?

Weight gain

A 6-year-old client has an arteriovenous (AV) fistula created for hemodialysis. The nurse recognizes the need for further teaching to the mother when the mother makes which statement?

When we return next week, the AV shunt will be ready to be used for the dialysis procedure.

The nurse is planning discharge instructions for the mother of a child after orchiopexy, which was performed on an outpatient basis. Which should be a priority in the plan?

Wound care

A lethargic, pale child is brought to the health care provider's office with symptoms of periorbital edema and reduced quantity of urine output. The urine is cloudy and smoky in color. The nurse asks the mother whether the child has had any recent infections. The mother responds that the child had a very sore throat a few weeks ago. The health care provider suspects that the child might have acute poststreptococcal glomerulonephritis. Which laboratory test would rule out a past streptococcal infection in the child?

Antistreptolysin titer

The nurse is collecting urine for culture and sensitivity on a 1-year-old child. The nurse attaches a urine specimen bag to the perineum of the child after cleansing the perineum meticulously. After 1 hour, the nurse checks the child to see whether the specimen has been obtained and notes that the child has not voided. Which action is appropriate?

Change the urine collection bag

A 2-year-old child is admitted to the hospital with a diagnosis of nephrotic syndrome. In planning care for this child, which nursing intervention should be of highest priority in the care of this child?

Checking the urine for protein every 4 hours

The nursing instructor is observing a nursing student caring for an infant with a diagnosis of bladder exstrophy. The nursing student provides appropriate care to the infant if which intervention is performed?

Covering the bladder with a sterile, non adhering moist dressing

The clinic nurse is providing instructions to the parents of a child with a urinary tract infection. The nurse determines that the parents need additional teaching if which statement is made?

I need to encourage my child to hold the urine and to urinate no more than 4 times a day

A child is diagnosed with glomerulonephritis, and the mother asks the nurse what the diagnosis means. What information should the nurse base her response on?

It is characterized by inflammation of the capillaries contained in the glomerulus

The nurse has completed discharge teaching with the parents of a child with glomerulonephritis. Which statement by the parents indicates that further teaching is necessary?

It'll be so good to have our child back in tap-dancing classes next week.

A nursing instructor is reviewing with a nursing student the urinalysis results on a child with epispadias and asks the student which abnormality would most likely be noted in this test result. The nursing student would correctly state that which abnormality will be noted?

Bacteria

The clinic nurse is reviewing the record of a child scheduled for follow-up care. Before the assessment of the child, the nurse notes documentation that the child has enuresis. Based on this diagnosis, the nurse plans the assessment to focus on which area?

Bladder function

A child was diagnosed with acute poststreptococcal glomerulonephritis and renal insufficiency. Which laboratory result should the nurse expect to note in the child?

Blood urea nitrogen 22 and creatinine levels of 2.1

Which assessment finding should the nurse expect to note in the child hospitalized with a diagnosis of nephrotic syndrome?

Abdominal pain

A child is diagnosed with acute post-streptococcal glomerulonephritis, and renal insufficiency is suspected. Which laboratory result should the nurse expect to note documented in the child's record?

An elevated BUN and creatinine

The nurse develops a plan of care for an infant with bladder exstrophy. The nurse prioritizes the plan of care and selects which as the priority?

Diminished tissue integrity