peds elimination

A concerned mother brings her 3-year-old to the primary care office because of nighttime voiding. Which response made by the nurse is best?

"children are not expected to stay dry through the night until the age of 5."

Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

-urinary tract infection -small bladder capacity -lack of awareness

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 clearnace rate

The nurse is caring for a child with nephrotic syndrome the child is noted to have edema. the edema would most likely be seen where on this child?

eyes

A nurse is performing postoperative care on a child with a ureteral stent. Which intervention will help manage tube patency?

monitor output

A child is getting a diagnostic work-up for nephrotic syndrome. Which lab results would the nurse expect to see?

proteinuria, hypoalbuminemia, and hypercholesterolemia

The nurse is caring for a child who has just been diagnosed with nephrotic syndrome. What health education should the nurse provide to the child and family?

the need to avoid high-sodium foods

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

-report any burning, itching, or discharge to a health care provider -follow up with a primary care provider

In caring for a child with a urinary tract infection, the nurse would perform all of the following nursing interventions. Which two interventions would the nurse identify as the priority?

- collect a "clean catch: voided urine -observe the child for signs of any reactions to the antibiotics

When caring for a child who has a diagnosis of acute glomerulonephritis, which nursing interventions would most likely be included in the child's plan of care? Select all that apply

-the nurse administers diuretics -the nurse administers antihypertensives -the nurse weighs the child everyday using the same scale -the nurse dipsticks the child's urine to test for protein

An 8-year-old girl is scheduled for a voiding cystourethrogram. After teaching the child and parents about the test, which statement(s) indicates that the teaching was successful? Select all that apply.

-"a catheter will be inserted to allow medicine to go into the bladder" -the first time i try to urinate night be a bit painful" "i will have to urinate into a bedpan as x-rays are taken

a nurse is caring for a client with a diagnosis of acute glomerulonephritis. which intervention would the nurse expect to be included in the treatment plan? SATA

-1 to 2 week course of antibiotics -keeping the client in semi-fowler position -antihypertensive therapy -high protein diet

A nurse is preparing a plan of care for an infant with bladder exstrophy. Which intervention(s) will the nurse include? Select all that apply.

-applying ointment to the abdomen to prevent excoriation -keeping the infant's legs flexed and together -performing sponge bathing instead of tub baths

The LPN is working with the RN to develop a plan of care for a child with nephrotic syndrome. Which of the following would be appropriate goals of treatment for this child? Select all that apply

-conserving energy -preventing infection -promoting coping

Assessment of a school-aged child reveals a sudden onset of hematuria. The parent states that the child has not felt well but the only recent past medical history is impetigo. Acute post-streptococcal glomerulonephritis is diagnosed and laboratory tests are performed. Which result would the nurse identify as supporting this diagnosis? Select all that apply.

-decreased blood protein level -increased BUN level -increased blood creatinine level -elevated antistreptolysin O titer

The nurse discovers a hypospadias during the physical assessment of a newborn after birth. The parent of the newborn is particularly distressed and has many questions. Which information will the nurse provide? Select all that apply.

-delay the circumcision until the hypospadias is surgically repaired -surgical repair is often completed between ages 6 and 12 months -save the diapers so that the output can be measured

A young child is diagnosed with acute poststreptococcal glomerulonephritis. When instructing the parent on treatment, which instruction(s) is included? Select all that apply.

-obtain blood pressure twice daily -obtain a daily weight each morning with the same scale

When caring for a child who has a urinary tract infection, which nursing interventions would be most appropriate. Select all that apply.

-the nurse observes for signs of pain or burning on urination -the nurse monitors intake and output -the nurse administers antipyretics as needed

Which nursing diagnosis would the nurse select as the priority when caring for a client with nephrotic syndrome? *ordering*

1. imbalanced nutrition 2. altered skin integrity 3. altered comfort 4. anxiety

The health care provider orders prednisolone 2 mg/kg/day to be given every 8 hours for a child diagnosed with nephrotic syndrome. The child weighs 42 lb. The medication is available in a solution of 3mg/ml. What is the amount per dosage in ml for this child?

4.2 ml