NUR 410 PEDS PREPU
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
1. Wipe from front to back. 2. Encourage fluids throughout the day. 3. Finish all antibiotics prescribed.
The nurse knows that which statement is a description of peritoneal dialysis when compared to hemodialysis:
The child can live a more normal lifestyle.
The nurse obtains a history from the parent of a child with glomerulonephritis about how the child became ill. What would the nurse expect the parent to report?
Dirty green urine
The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake is similar. Which statement would be accurate for the nurse to tell this mother?
"A girl's urethra is much shorter and straighter than a boy's, so it can be contaminated fairly easily."
A newborn is diagnosed with hypospadias and the parents want him to be circumcised. Which response by the nurse would be most appropriate?
"It's important to have your son see by a urologist because the foreskin is needed for repair."
The nurse is caring for a 10-year-old child experiencing nocturnal enuresis with no physiologic cause. The child states, "I am embarrassed and I wish I could stop this right now!" How will the nurse respond?
"There are several things we can do to help you achieve this goal."
To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate?
Abdominal circumference
A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of these actions by the nurse would require immediate attention?
The child does not have intravenous access.
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 parent asks if the newborn's undescended testicles will need surgery to repair. Which response by the nurse would be appropriate?
"There is a chance the testicles will descend on their own."
An 8-year-old girl is scheduled for a voiding cystourethrogram. After teaching the child and parents about the test, which statement indicates that the teaching was successful? Select all that apply.
1. "A catheter will be inserted to allow medicine to go into the bladder." 2. "The first time she tries to urinate might be a bit painful." 3. "She will have to urinate into a bedpan as x-rays are taken."
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.
1. A fever is commonly noted with a UTI. 2. Change diapers promptly, especially after bowel movements. 3. Female urethras are shorter and straighter than males.
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
Which child has the highest risk of urinary tract infection?
An 18-year-old female who is sexually active
The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative plan of care, the nurse monitors for abdominal skin excoriation. Which action would be mostappropriate for promoting healing and preventing further skin breakdown?
Applying a barrier/healing cream or paste on skin
The nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which of the following clinical manifestations was likely noted in this child?
Bloody urine
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 collecting data on a 6-year-old child admitted with acute glomerulonephritis. Which vital sign would the nurse anticipate with this child's diagnosis?
Blood pressure 136/84
A child is being evaluated for renal and urinary tract disease. What would the nurse expect to be ordered to evaluate the child's glomerular filtration rate?
Creatinine clearance rate
A symptom often seen in acute glomerulonephritis is edema. The most common site the edema is first noted is in which area of the body?
Eyes
A nurse reviews the results of a child's urinalysis. Which result would lead the nurse to suspect that the child has a renal or urinary tract problem? Select all that apply.
Foamy appearance to the urine Positive ketones in the urine Specific gravity 1.10
A school-aged child diagnosed with glomerulonephritis is in the physician's office for a 6-month follow-up visit. Hematuria is found in the urine. The parents are concerned and want to know why the glomerulonephritis is not gone. What is the best response by the nurse?
Hematuria can remain in the urine for up to one year.
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
Hypertension
When developing the preoperative plan of care for an infant with bladder exstrophy, which intervention would the nurse least likely include?
Placing the infant in a side-lying position
The nurse is collecting data on a 6-year-old child admitted with a possible urinary tract infection. Which vital sign might indicate the possibility of an infection?
Pulse rate 135 bpm
The nurse is providing a child with oxybutynin as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?
Relieves bladder spasms
The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?
Take the child's blood pressure and report the findings to the nurse while the nurse is still on the phone.
A 16-year-old girl has had several cases of cystitis in the past year. Which of the following should the nurse suspect as the cause, based on this finding?
Sexual activity
The nurse is caring for a 1-year-old patient with nephritis who is receiving intravenous (IV) antibiotic therapy. Which of the following would be most important for the nurse to document for this infant?
The amount of solution infused on the I&O record
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.
A caregiver brings her 7-year-old son to the pediatrician's office, concerned about the child's bedwetting after being completely toilet trained even at night for over 2 years. The caregiver further reports that the child has wet the bed every night since returning home from a 1-week fishing trip. The child refuses to talk about the bedwetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out what possible explanation for the bedwetting?
The child has been sexually abused, maybe on the fishing trip.
The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse likely find in this child's history?
The child recently had an ear infection.
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 mother of a child brings the child in for an evaluation because "she is urinating all of the time." A child is having her urine checked. When reviewing the results, the nurse notes that the urine is positive for glucose. The nurse interprets as which of the following?
This may suggest diabetes mellitus.
In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of care?
Weighing on the same scale each day
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also has a headache, and his mother reports that his eyes are puffy. Although he had a fever 2 days ago, his temperature is now down to 100℉ (37.8℃). The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have:
acute glomerulonephritis.
The condition in which one or both of the testes does not descend in the male infant is referred to as:
cryptorchidism.
An 8-year-old develops balanoposthitis. A finding of this is
denuded, reddened surface of the glans of the penis.
A 3-year-old child is scheduled for a surgery to correct undescended testes. For what postoperative consideration would the nurse want to prepare the parents?
some discomfort at the surgery site
A 4-year-old child with a urinary tract infection is scheduled to have a voiding cystourethrogram. When preparing the child for this procedure, the nurse would want to prepare the child to:
void during the procedure.
The nurse is caring for a child who has been prescribed cyclophosphamide. What nursing consideration is indicated?
void during the procedure.
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
A bulge in the inguinal area
The nurse is caring for a child who has been prescribed cyclophosphamide. What nursing consideration is indicated?
Encourage voiding with medication administration.
The nurse determines that interventions for a voiding disorder have been effective when the family of a child with enuresis demonstrates evidence of which of the following?
Parents/family use positive coping mechanisms in response to the child and the voiding disorder.
