GU Ch. 10

. A nurse is questioned by a nursing student about the difference between hypospadias and epispadias. Which response by the nurse is best?

"Hypospadias is an abnormal opening on the ventral side of the penis and epispadias is an abnormal opening of the dorsal side of the penis."

The nurse is providing discharge teaching to the parents of a 3-year-old girl on how to obtain a clean-catch urine specimen. What is the most appropriate statement by the nurse?

"Never collect the first voided specimen of the day."

A nurse is caring for a 13-year-old girl recently diagnosed with end-stage renal disease. The nurse is discussing dietary restrictions with the child's mother. Which of the following responses indicates a need for further teaching?

"She can eat whatever she wants on dialysis days."

What statement made by the parents of a child undergoing hypospadias repair implies the need for further teaching about the primary objective of surgical correction?

"The purpose is to decrease the chance of developing urinary tract infections."

. A nurse is caring for a 9-year-old boy with nocturnal enuresis with no physiologic cause. He says he is embarrassed and wishes that he could stop wetting his pants and the bed at night. How should the nurse respond?

"There are several things we can do to help you achieve your goal."

Which statement by a nurse would be the best response to a mother who wants to know what the first indication will be that her child's acute glomerulonephritis is improving?

"Your child's urine output will increase."

The nurse is administering cyclophosphamide as ordered to a 12-year-old child with nephrotic syndrome. Which of the following instructions is most accurate regarding administration of this cytotoxic drug?

Administer in the morning, encourage fluids and voiding during and after administration

A school-aged child with acute glomerulonephritis has a nursing diagnosis of impaired urinary elimination related to fluid retention and impaired glomerular filtration. Which patient goal best addresses the expected outcome for this diagnosis?

Demonstrates no periorbital, facial or body edema

What is the most important intervention for the nurse to include in the care plan for a male infant following surgical repair of hypospadias?

Frequent assessment of the tip of the penis

. The nurse is assessing an infant with suspected hemolytic uremic syndrome. Which of the following characteristics of this condition would the nurse expect to assess, including information from the electronic medical record?

Hemolytic anemia, thrombocytopenia & acute renal failure

The nurse is caring for a child diagnosed with hydronephrosis. Which of the following manifestations is consistent with complications of the disorder?

Hypertension

The nurse is caring for an 11-year-old boy diagnosed with acute glomerulonephritis. When reviewing the boy's health history, which of the following will likely be noted?

The boy has a recent history of an upper respiratory infection

The nurse is caring for a 9-year-old girl presenting with fever, dysuria, flank pain, urgency and hematuria. The nurse would expect to help obtain which of the following tests first to reveal preliminary information about the urinary tract?

Urinalysis

The nurse is caring for a child who is undergoing peritoneal dialysis. Immediately after draining the dialysate, what is the immediate action the nurse should take?

Weigh the old dialysate