P Quiz 5

a nurse is admitting a 6 month old infant who has dehydration. which of the following amounts of urinary output should indicate to the nurse that the treatment has confirmed the fluid imbalance

2ml/kg/hr

severe dehydration from acute gastroentereistis

3% weight loss

Parents ask the nurse "when should our child's hypospadias be corrected?" The nurse responds based upon the knowledge that correction of hypospadias should be accomplished by the time the child is

6-12 months of age

a nurse is caring for a client diagnosed with glomerulonephritis who has recurrent hypertension and edema. analyzing the clients lab results in relationship to his disease process the nurse would expect to find an increase in which values

BUN

a nurse is reviewing lab results of an adolescent who has chronic glomerulonephritis. which of the following findings should the nurse expect

BUN 50

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for which condition?

UTI

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply

UTI diabetes mellitus

a nurse is caring for a child who has acute appendicitis. which of the following results should the nurse anticipate when reviewing this clients lab values

WBC 17,000

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?

a child who has nephrotic syndrome

A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply)

abd pain mucus bloody stools

a nurse is caring for a child who has suspected appendicitis. which of the provider prescription should the nurse clarify

admin sodium bisphosphate

a nurse is caring for a child who has suspected diagnosis of bacterial meningitis. which of the following actions is the nurses priority

administer antibiotics when available

A nurse is caring for an infant who is 24 hr postoperative following a cleft palate repair. Which of the following is an appropriate action by the nurse?

administering opioids for pain

A nurse is caring for a 3y/o female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure?

apply 2% lidocaine lub into the urethral meatus

A nurse is planning care for a 10-month-old infant who is 8 hr postop following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

apply and release elbow restraints every hour

a nurse is caring for a child who is having a seizure which of the following actions should the nurse take

assess the clients airway patency remove objects from the clients bed place the client in a side lying position

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)

avoid bubble baths empty bladder completely with each void provide info about manifestations of infection

a nurse is teaching a clie t who has gerd about managing her illness. which of the following recommendations should the nurse include in the teaching

avoid eating within 3 hr of bedtime

a nurse is providing discharge teaching to the parents of a 6 month old infant following a surgical procedure to repair a hypospadias, what instructions should the nurse include in the teaching

avoid giving the infant a tub bath until the stent is removed

A nurse is providing teaching to the parent of an infant who has GERD. Which of the following indicates understanding of the teaching?

baby should be upright for 1 hour after feeding

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply)

bacterial infection bloody diarrhea is common transmission cna be from house pets

a parent is concerned that her 5 yo may be exhibiting regression behaviors. the nurse should know the behavior that indicates regression is

bedwetting several times a day

A nurse is caring for a male infant who has epispadias. Which of the following findings should the nurse expect? (Select all that apply)

bladder exstrophy widened pubic symphysis broad spade like penis

A nurse is caring for a client who has an indwelling urinary catheter and notes blood tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

bladder infection

A parent calls a clinic and reports to a nurse that has 2 month old infant is hungry more than usually but has projectile vomiting immediately after eating. Which of the following responses should the nurse make?

bring the baby in to the clinic

a parent calls a clinic and reports to a nurse that his 2 old infant is hungry more than usual but is projectile vomiting immediately after eating. which of the following responses should the nurse make

bring your baby in to the clinic today

a nurse is caring for a client who is postop appendectomy. the surgeon initally prescribed a clear liquid diet. which of the following items should the nurse offer the client

broth grape juice lemon gelatin

a nurse is assessing an 11 month old infant. which of the following clinical manifestations is suggestive of a central nervous system infection

bulging fontanels positive brudzinski sign

What is an appropriate intervention for a child with nephrotic syndrome who is edematous?

change the childs position every 2 hours

a nurse is caring for a child who has acute glomerulonephritis. which of the following actions is the nurses priority

check the childs daily weight

which assessment finding should the nurse expect in an infant with hirschsprungs disease

constipation with passage of fould smelling ribbon like stools

a nurse is caring for a 3yo child who has had 160ml of urine output over the past 8 hours. the child weighs 33lbs. which of the following actions should the nurse take

continue to monitor the client

Which dietary modification is appropriate for a child with chronic renal failure?

decreased protein

A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect?

delayed growth

a nurse is reviewing the medical record of a client who has a UTI which of the following findings should the nurse recognize as a risk factor

diabetes mellitus

What is the best response by the nurse to a mother asking about the cause of her infant's bilateral cleft lip?

does anyone in your family have a cleft lip or palate

You are the nurse caring for a 4-year-old child who has developed acute renal failure as a result of hemolytic-uremic syndrome (HUS). Which bacterial infection was most likely the cause of HUS?

e coli

a nurse is assessing a child who has acute renal failure, what clinical manifestations are expected

edema

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply)

edema in the ankles hyperlipidemia anorexia

a nurse is caring for a 2 month old infant who is postop following repair of a cleft lip and palate. the provider prescribes restraints. the nurse should apply which of the following types of restraints for this infant

elbow

A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis?

emotional problems

A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include?

encourage frequent voiding

diarrhea involving the colon and intestines

enterocolitis

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?

explain to the parents that the issue will self resolve

a nurse is collecting data from a child which of the following is a clinical manifestation of nephrotic syndrome

facial edema

A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply)

fever vomit watery stools

a nurse is assessing an infant who has intussusception. which of the following manifestations should the nurse expect

gelatinous red stool

which parasite causes acute diarrhea

giardia lamblia

The mother of a child who was recently diagnosed with acute glomerulonephritis asks the nurse why the physician keeps talking about "casts" in the urine. The nurse's response is based on the knowledge that the presence of casts in the urine indicates

glomerular injury

The nurse is collecting data for a 2-month-old with suspected pyloric stenosis. Which findings indicates pyloric stenosis?

hard movable olive like mass in RUQ

A child is admitted with acute glomerulonephritis. The nurse expects the urinalysis during this acute phase to show

hematuria and proteinuria

Which condition is characterized by a history of bloody diarrhea, fever, abdominal pain, and low hemoglobin and platelet counts?

hemolytic uremic syndrome

Ribbon-like, foul smelling, constipated stools are a manifestation of what disorder?

hirschsprung disease

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

hirschsprungs

a nurse is caring for an infant who has inadeqaute motility of part of the intestine resulting in a mechanical obstruction. the nurse should identify this finding as a manifestation of which of the following disorders

hirschsprungs disease

a nurse is planning care for a 5 month old infant who is scheduled for a lumbar puncture to rule out meningitis. which of the following actions should the nurse include in the plan of care

hold the infants chin to his chest and knees to his abdomen during the procedure

what sympetoms occur in nephrotic syndrome

hypoalbumeniemia hyperlipidemia edema

a nurse on an oncology unit is assessing a child who has a brain tumor. which of the following findings should the nurse expect

hyporeflexia

Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?

i do not put any salt in foods when i am cooking

a nurse is caring for a female client who has recurrent kidney stones and is scheduled for an IVP which of the following statements by the client should the nurse report to the provider

i dont eat shellfish bc it gives me hives

a nurse is providing teaching to a client with gerd. which of the following statements by the client indicates a need for further teaching

i drink no more than 4 cups of coffee a day

Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)?

i really enjoy taking a bubble bath

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

i will keep my baby in an upright position after feedings

a nurse is providing teaching to a parent of a child who has hirschusprung disease is scheduled for inital surgery. which of the following statements by the parent indicates an understanding of the teaching

im glad that my childs ostomy is only temporary

a nurse is assessing an infant following a motor vehicle crash. which of the following findings should the nurse monitor to identify increased intracranial pressure

increased sleeping

The nurse closely monitors the temperature of a child with nephrotic syndrome. The purpose of this is to detect an early sign of which possible complication?

infection

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?

initaite oral rehydration therapy

a nurse is preparing to perform an abdominal assessment on a child. identify the sequence the nurse should follow

inspection auscultation superficial palpation deep palpation

Which clinical finding warrants further intervention for the child with acute poststreptococcal glomerulonephritis?

inspiratory crackles

A nurse is teaching a class on acute renal failure. The nurse relates that acute renal failure as a result of hemolytic-uremic syndrome (HUS) is classified as

intrarenal

this disorder will manifest with currant jelly type stools

intussusception

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

intusussception

A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply)

irritability vomit fever

A child with the spina bifida is placed on a bowel program at the clinic. The nurse assigned to the patient knows this is a result of...

lack of innervations in the anal sphincter or colon causes incontinence or constipation

A nurse is caring for a 4 year old client who just had abdominal surgery. Which of the following techniques should the nurse use to get the client to take deep breaths?

lets play a game of blowing cotton balls across your table

A nurse is caring for a child who has just received a ventriculoperitoneal (VP) shunt. Which of the following should the nurse know is the appropriate position for this client?

low fowlers

the diet of a child with chronic renal failure is usually characterized as

low in phosphorus

a nurse is caring for a school age child with acute glomerulonephritis who has peripheral edema and is producing 35ml of urine an hour. the child should be placed on which of the following diets

low sodium fluid restricted

mane an initial treatment of glomerulonephritis

moderate sodium and possible fluid restriction

a home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. which of the following goals is the priority for the nurse to include in the plan of care

modify the environment

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung's disease?

monitor rectal temp every 4hours and report an elevation greater than 38.5

A 16-month-old has a history of diarrhea for 3 days with poor oral intake. He received intravenous fluids, has tolerated some oral fluids in the emergency department, and is being discharged home. Instructions for diet for this child should include:

offer a regular diet as childs appetite warrants

A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply)

offer frequent feedings thicken formula with rice cereal position baby upright after feedings

A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor?

oliguria

the primary manifestation of acute renal failure is

oliguria and hypertension

nursing care of a 9 month old who has undergone cleft palate repair can be expected to include feeding with a

open cup

a nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. the nurse should anticipate providing which of the following fluids

oral rehydration solution

a nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an intussception. which fo the following fluids should the nurse select for the infant

oral rehydration solutions

A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

perform a tape test

A nurse is caring for a child who has poststreptococcal glomerulonephritis (APSGN). Which of the following manifestations should the nurse expect? (Select all that apply)

periorbital edema ill appearance hypertension

A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take?

place infant in upright position

a nurse is caring for an infant who has gastroesophageal reflux. the nurse should place the infant in which of the following positions following feedings

place the infant in an infant seat

A nurse is caring for an infant who has just returned from PACU following cleft lip and palate repair. Which of the following actions should the nurse take?

place the infant in an upright position

A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (Select all that apply)

prep for surgery obtain detailed family history refer the family to genetic counseling explain the need for chromosomal analysis

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

prep the family for surgery

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select al that apply)

projectile vomit dry mucus membrane constant hunger

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? (Select all that apply.)

projectile vomit dry mucus membranes constant hunger

a nurse is caring for a 6 week old infant who has pyloric stenosis. which of the following clinical manifestations should the nurse expect

projectile vomiting

when providing postop care for a child with a cleft palate the nurse should position the child in which of the following positions

prone

Which diagnostic finding is present when a child has primary nephrotic syndrome?

proteinuria

a nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. which of the following interventions should the nurse include in the plan of care

provide a latex free environment

A nurse is planning care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?

provide a low sodium diet

thickening of the pyloric channel resulting in an outlet obstruction

pyloric stenosis

a nurse is providing teaching to a parent of a child who has acute group A B hemolytic strep. which of the following information should the nurse include in the teaching

replace the childs toothbrush after 24 hours on antibiotics

a nurse is caring for an adolescent male who has a traumatic brain injury following a bike accident. which of the following findings should the nurse identify as an indication of increased intracranial pressure

restlessness

a nurse is providing teaching to a parent of a child who has celiacs disease the nurse should invlude which of the following food choices for this child

rice

a nurse is providing care for an infant following a surgical repair of a cleft lip. which of the following actions should the nurse take to minimize the infants crying

rock the infant with a fav blanket

which viral pathogen frequently causes acute diarrhea in young childre

rotavirus

A nurse is caring for a 10-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider?

serum creatinine 1.3

A nurse is caring for a 10 year old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?

serum protein 5

A nurse is teaching a group of parents about E. coli. Which of the following information should the nurse include in the teaching? (Select all that apply)

severe abd cramping it can lead to hemolytic uremic syndrome it is a food borne pathogen

the most common cause of acute renal failure in children is

severe dehydration

Which factor predisposes the urinary tract to infection?

short urethra in young girls

Which nursing intervention is most helpful to parents of a neonate with bilateral cleft lip?

show the parents before and after pics of an infant whose cleft lip has been successfully repaired

Following several episodes of vomiting with an increasing temp in a 2 y/o, the nurse plans to monitor for dehydration. Which of the following findings indicates the child is dehydrated?

specific gravity of 1.034

which of the following is an example of a neural tube defect

spina bifida

while assessing a newborn with cleft lip the nurse would be alert that which of the following will most likely be compromised

sucking ability

a nurse is caring for a child with suspected acute appendicitis. which of the following manifestations should indicate to the nurse that the childs appendix is perforated

sudden decrease in abdominal pain

therapeutic management of most children with hirschsprungs disease is primarily

surgical removal of the affected section of the bowel

A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply)

swelling of face pallor fatigue

a nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. which fo the following actions by the new nurse indicates the teaching has been effective

takes an axillary temp

The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?

tea colored urine

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

teach the parents how to do CPR

An adolescent with a history of surgical repair for undescended testes comes to the clinic for a sport physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?

technique for monthyl testicular self exams

A baby is scheduled for abdominal surgery for hypertrophic pyloric stenosis and has an NG tube to intermittent suction. When the family asks why the child has the tube, what response by the nurse is best?

the NG tube decompresses the abdomen and decreases vomiting

A nurse is collecting physical data from a 4y/o child who has diarrhea and has been vomiting for 24 hours. Which of the following sites should the nurse grasp to determine the child's skin turgor?

the childs abdomen

What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

the prognosis for complete correction with surgery is good

hypospadias refers to

urethral opening along ventral surface of penis

A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (Select all that apply)

urinary tract infection hydronephrosis

Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?

urine is up to a trace for protein for 5-7 days

a nurse is caring for a 3yo child who was admitted with acute diarrhea and dehydration. which of the following findings indicates that oral rehydration therapy has been effective

urine specific gravity 1.015

a nurse is caring for an infant who has GERD the nurse should recognize that which of the followinf findings are associated with this condition

vomit weight loss wheezing

Which intervention is appropriate when examining a male infant for cryptorchidism?

warming the room

a major complication in a child with chronic renal fialure is

water and sodium retention

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output?

weighing the diapers

a nurse is caring for an infant who is dehydrated and requires therapy. the nurse should monitor the infants response to therapy by

weighing the infant at the same time every day

a nurse is assessing a toddler who has acute nephrotic syndrome which of the following findings should the nurse report to the provider

yellow nasal drainage

a nurse is teaching a client who is scheduled for a cytoscopy. which of the following info should the nurse include in the teaching

you may have pink tinged urine after this procedure

A true statement describing the differences in the pediatric genitourinary system compared with the adult genitourinary system is that

young children have shorter urethras which can predispose them to UTIs