Nursing Care of the Child with a Genitourinary Disorder

The nurse is caring for the parents of a newborn who has an undescended testicle. Which of the following comments by the parents indicates understanding of the condition? a. our son may need surgery on his testes before we are discharged to go home b. our son may have to go through life without two testes c. our son's condition may resolve on its own d. our son will likely have a high risk of cancer in his teen years as a result of his condition

c

The nurse is caring for a child with epididymitis. When planning care which of the following interventions may be included? a. scrotal elevation b. warm compresses c. corticosteroid therapy d. catheterization

a

the nurse is caring for a child diagnosed with hydronephrosis. Which of the following manifestations is consistent with complications of the disorder? a. hypertension b. hypotension c. hypothermia d. tachycardia

a

The nurse is caring for a child who has been admitted to the acute care facility with manifestations consistent with hydronephrosis. Which of the following diagnostic tests can the nurse anticipate will be performed to confirm diagnosis? Select all that apply a. intravenous pyelogram (IVP) b. Urinalysis c. Voiding cystourethrogram (VCUG) d. complete blood count e. renal ultrasound

a, c, e

A nurse is caring for a 10 year old boy with nocturnal enuresis with no physiologic cause. He says he is embarrassed and wishes he could stop the bedwetting immediately. How should the nurse respond? a. you will grow out of this eventually; you just need to be patient b. there are several things w can do to help you achieve this goal c. there are almost 5 million people that have enuresis d. the pull-ups look just like underwear; no one has to know

b

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? a. empty the old dialysate b. weight the old dialysate c. weigh the new dialysate d. start the process over again with a fresh bag

b.

The nurse is administering cyclophasophamide as ordered for a 12 year old boy with nephrotic syndrome. Which of the following instructions is most accurate regarding administration of this cytotoxic drug? a. administer in the evening on an empty stomach b. provide adequate hydration and encourage fluids and voiding during and after administration c. administer in the morning, encourage fluids and voiding during and after administration d. encourage fluids, adequate food intake, and voiding before and after administration

c

The nurse is caring for a 12 year old boy diagnosed with acute glomerulonephritis. When reviewing the boy's health history which of the following will likely be noted? a. the boy has a history of recurrent urinary tract infections b. the boy has a family history of renal disorders c. the boy has a recent history of an upper respiratory infection d. the boy has a history of hypotension

c

a nurse is caring for a 13 year old boy with end stage renal disease who is preparing to have his hemodialysis treatment in the dialysis unit. Which of the following is the appropriate nursing action? a. administer his routine medications as scheduled b. take his blood pressure measurement in extremity with AV fistula c. withhold his routine medication until after dialysis is completed d. assess the Tenckhoff catheter site

c

the nurse is conducting a follow-up visit for a 13 year old girl who has been treated for pelvic inflammatory disease. Which of the following remarks indicates a need for further teaching? a. I should be tested for other sexually transmitted diseases b. douching is not necessary and can cause bacteria to flourish c. I cannot have sex again until my partner is treated d. my partner needs to be treated with antibiotics

c

The nurse is caring for a 10 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 system? a. total protein, globulin, and albumin b. creatinine clearance c. urinalysis d. urine culture and sensitivity

c.

A nurse is caring for a 12 year old girl recently diagnosed with end stage renal disease. The nurse is discussing dietary restrictions with the girl's mother. Which of the following responses indicates a need for further teaching? a. My daughter can eat what she wants when she is hooked to the machine b. my daughter must avoid a high sodium diet c. she needs to restrict her potassium intake d. she can eat whatever she wants on dialysis days

d

The nurse is planning the discharge instructions for the parents of a 1 month old child who has had a circumcision completed. Which of the following should be included in the education provided? a. use Vaseline on the head of the penis for the first 2 weeks after the procedure b. report any bleeding to the physician c. reduce the child's fluid intake to reduce voiding during the first 24 hours d. report redness or swellling on the penile shaft

d

the nurse is caring for a child who receives dialysis via an AV fistula. which of the following findings indicates an immediate need to notify the physician. a. presence of a bruit b. presence of a thrill c. dialysate without fibrin or cloudiness d. absence of a thrill

d

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 chart review a. hemolytic anemia, acute renal failure and hypotension b. dirty green colored urine, elevated erythrocytes sedimentation, and depressed serum complement level c. hemolytic anemia, thrombocytopenia, and acute renal failure d. thhrombocytopenia, hemolytic anemia, and nocturia several times each night

c