Pediatrics GI: Urinary Elimination Ch.21 Prep U and ATI CH. 24-26

The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The nurse suspects the cause as Candida albicans based on which finding? Foul yellow-gray discharge White cottage cheese-like discharge Irritation of labia and vaginal opening Thin gray vaginal discharge with fishy odor

White cottage cheese-like discharge

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. Intrauterine polyhydramnios d. concentrated urine e. hydronephrosis

b. Urinary tract infection d. concentrated urine

The nurse is doing a presentation for a group of nursing students about the topic of menstrual disorders. After discussing the disorder secondary amenorrhea, the students make the following statements. Which statement made by the nursing students is the most accurate regarding the cause of secondary amenorrhea? "It is caused from taking birth control pills when a girl is younger than 13 years old." "Emotional stress can be a cause of this disorder." "This disorder is usually seen after a girl has had a spontaneous abortion (miscarriage)." "This is what happens if a 16-year-old girl has never had any periods at all."

"Emotional stress can be a cause of this disorder."

A nurse is conducting a discussion group with parents of children who have genitourinary disorders. As part of the discussion, the nurse reviews the major functions of the kidneys. The nurse determines that the teaching was successful based on which statement by the group? "We should expect problems with too much fluid in the brain because the kidneys are not able to keep the fluid in balance." "Problems with the kidneys raise the risk for infection because there is a problem with producing white blood cells." "The kidneys help get rid of carbon dioxide from the body, so kidney problems can affect our child's breathing." "The kidneys help control blood pressure, so our child's blood pressure needs to be checked often."

"The kidneys help control blood pressure, so our child's blood pressure needs to be checked often."

A parent is asking how to help the child deal with the peer ridicule at school in regards to enuresis. What is the best response by the nurse? Demonstrate how to urinate in the bathroom every time the child has an occurrence. Demonstrate love and acceptance at home. Take away a toy every time the child urinates in his or her pants. Discuss how the child can continue to go to the bathroom instead of in his or her underwear.

Demonstrate love and acceptance at home.

A parent is asking how to help the child deal with the peer ridicule at school in regards to enuresis. What is the best response by the nurse? Discuss how the child can continue to go to the bathroom instead of in his or her underwear. Demonstrate how to urinate in the bathroom every time the child has an occurrence. Take away a toy every time the child urinates in his or her pants. Demonstrate love and acceptance at home.

Demonstrate love and acceptance at home.

The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? Using a vaginal douche routinely Suggesting that sexual partners use antibiotic ointment Insisting that sexual partners use condoms Using oral contraceptives as prescribed

Insisting that sexual partners use condoms

Which nursing diagnosis would be the priority when caring for a child in renal failure following a kidney transplant? Risk for infection related to immunocompromised state Constipation related to effects of administered drugs Pain related to tissue rejection Deficient fluid volume related to fluid intake restrictions postoperatively

Risk for infection related to immunocompromised state

A 3-month-old boy is found to have undescended testes. The parents are concerned. What should the nurse anticipate as the next step for this client? Administer low-dose human chorionic gonadotropin hormone. Perform karyotyping to establish the client's gender. Reassess the client's testes at 6 months of age. Schedule emergency orchiopexy to correct the condition.

Reassess the client's testes at 6 months of age.

When preparing discharge instructions for the parents of an infant who has been diagnosed with hypospadias, the nurse should include which instruction in the teaching plan? Select all that apply. Monitor voiding patterns. Encourage circumcision. Follow up with a primary care provider. Increase fluid intake. Report any burning, itching, or discharge to a health care provider.

Report any burning, itching, or discharge to a health care provider. Follow up with a primary care provider.

The nurse knows that which statement is a description of peritoneal dialysis when compared to hemodialysis: The child can live a more normal lifestyle. Therapy is only 3 to 4 days per week. The child must go into a facility to get peritoneal dialysis. There are strict diet and fluid restrictions.

The child can live a more normal lifestyle.

A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which situation would require immediate attention by the nurse? The child is diapered. The child's appetite is poor. The child does not have intravenous access. The child is unable to ambulate.

The child does not have intravenous access.

A parent asks if her newborn's undescended testicles will need surgery to repair. What is the best response by the nurse? Surgery is not needed for this type of problem. If the infant is having swelling or pain, then surgery will be performed. There is a chance the testicles will descend on their own. This problem needs to be corrected immediately in the newborn period.

There is a chance the testicles will descend on their own.

The nurse is reviewing the causative organisms noted on laboratory reports. Which organism is transmitted solely by sexual contact? Borelli Trichomonas Cholera bacterium Bacillus

Trichomonas

In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of care? Increasing fluid intake by 50 ml per hour Weighing on the same scale each day Ambulating 3 to 4 times a day Testing the urine for glucose levels regularly

Weighing on the same scale each day

Which instructions should a nurse give to a client who has a history of urinary tract infections to prevent recurrence? Select all that apply. Encourage fluids throughout the day. Wipe from front to back. Use bubble bath to wash. Limit bathing to once a week. Finish all antibiotics prescribed.

Wipe from front to back. Finish all antibiotics prescribed. Encourage fluids throughout the day.

A nurse is caring for a 13-year-old boy with end-stage kidney disease who is preparing to have his hemodialysis treatment in the dialysis unit. Which nursing action is appropriate? Withhold his routine medication until after dialysis is completed. Assess the Tenckhoff catheter site. Administer his routine medications as scheduled. Take his blood pressure measurement in the extremity with the AV fistula.

Withhold his routine medication until after dialysis is completed.

A group of nursing students is discussing terminology related to the genitourinary system during a post-conference setting. One of the students asks what mittelschmerz is or what it means. A classmate of this student correctly answers that mittelschmerz is: a dull, aching abdominal pain at ovulation. a symptom of premenstrual syndrome. the beginning of menstruation. a medication given to treat dysmenorrhea.

a dull, aching abdominal pain at ovulation.

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. bladder exstrophy c. widened pubic symphysis d. urethral opening on the dorsal side of the penis

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 g/dl b. hgb 14.5 g/dl c. Hct 40% d. Platelet 200,000mm (cubed)

a. blood protein 5.0 g/dl

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 child for surgery b. Test the child's infants 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. prepare the child for surgery d. Refer the family for genetic counseling e. explain the need for a chromosomal analysis

A nurse is assessing 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. Hyperlipidema d. polyuria e. anorexia

a. urine dipstick + 2 protein b. edema in the ankles c. Hyperlipidema d. polyuria e. anorexia

A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (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. Avoid bubble baths c. Empty bladder completely with each void d. Watch for manifestations of infection

A nurse is caring for a child who has acute post-streptococcal glomerulonephritis(APSGN) Which of the following manifestations should the nurse expect? (select all that apply) A. Pale urine b. Periorbital edema c. Lil applesauce d. decreased creatine e. hypertension

b. Periorbital edema c. Lil applesauce e. hypertension

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 mg/dl b. blood creatinine 1.3 mg/dl c. blood pressure 100/74 mm Hg d. Urine output 550 ml in 24 hr

b. blood creatinine 1.3 mg/dl

A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis a. UTI b. emotional problems c. urosepsis 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 child for surgery b. explain to the parents that the issue will self-resolve c. Retract the foreskin and cleanse several times daily d. refer the family for genetic counseling

b. explain to the parents that the issue will self-resolve

A nurse is assessing an infant who has suspected UTI. WHich of following are expected findings? (select all that apply) a. increase in hunger b. irritability c. decrease in urination d. Vomiting e. Fever

b. irritability d. Vomiting e. Fever

A nurse assessing a child who has a UTI. Which of the following are manifestations of a UTI? (select all that apply) a. Night sweats b. swelling of the face c. pallor d. pale-colored urine e. fatigue

b.swelling of the face pale c. pallor e. fatigue

Most urinary tract infections seen in children are caused by: fungal infections. dietary insufficiencies. intestinal bacteria. hereditary causes.

intestinal bacteria.

A nurse is assessing a child who has chronic renal failure. Which of the following finds should nurse expect ? a. flushed face b. Hyperactivity c. weight gain d. delayed growth

d. delayed growth

A nurse is planning care of a child who has a UTI. 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 nurse is concerned about the pediatric client's immune system after taking corticosteroids. Which laboratory study is the nurse most correct to assess? leukocyte count basophils red blood count eosinophils

leukocyte count

A client has been admitted to the emergency department with nausea, vomiting, and severe scrotal pain. These findings indicate what condition? varicocele hydrocele testicular infection testicular torsion

testicular torsion

A child is hospitalized with nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema? urine output, every shift amount of protein in the urine weight, daily abdominal circumference

weight, daily