Peds Quiz 8 (for final) *4 QUESTIONS*

A nurse if reviewing a patient's chart and notices that the child suffers from a urinary tract infection. Which of the following microorganisms is related to this condition?

Escherichia coli

A 4-year-old has acute glomerulonephritis and is admitted to the hospital. An appropriate nursing diagnosis for this child should be:

Excess Fluid Volume related to decreased plasma filtration

Discharge instructions for care of a child who has just had an orchiopexy should include

Explanation to the parents about the need for loose, nonrestrictive clothing

A nurse is teaching a client to perform peritoneal dialysis in preparation for discharge to home. The nurse tells the client to use which of the following to prevent infection when connecting and disconnecting the peritoneal dialysis system?

Gloves and mask

The administration of prednisone to children with nephrotic syndrome creates the problem of:

Increased risk of infection

A child has been diagnosed with stage 3 chronic kidney disease (CKD). The nurse would question the medical order for:

Intravenous pyelogram with contrast to visualize kidneys

A child with nephrotic syndrome has been placed on prednisone for several weeks. An important point of teaching with the parents should include:

Never stop taking the medication suddenly

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and headache. Which of the following actions should be taken by the nurse?

Obtain a blood pressure on the child; notify the physician

A school-aged client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following interventions should receive the highest priority?

Obtaining daily weight measurements

A child with nephrotic syndrome is severely edematous. The primary health-care provider has placed the child on bed rest. An important nursing intervention for this child should be to

Reposition the child every two hours

Scenario: A child with acute poststreptococcal glomerulonephritis (APSGN) is admitted to the pediatric ICU for overnight observation.When obtaining a nursing history from the child's mother, the nurse should expect a recent ________________ infection.

Streptococcal

A child has undergone a kidney transplant and is receiving tacrolimus and cyclosporine. The parents ask the nurse about the reason for these two medications. The nurse should explain that these medications are given to:

Suppress rejection

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

Technique for monthly testicular self-examinations

Accurate fluid intake and output records and daily weights are particularly important in patients with kidney disease because:

They aid in assessing kidney damage

A child is being treated for strep throat. The nurse tells the parent to report any abrupt onset of mid-abdominal pain along with malaise, irritability and fever. The nurse is teaching the parent signs of:

acute post-streptococcal glomerulonephritis

The client has been diagnosed to have glomerulonephritis. What should the nurse observe in the urine?

blood

A nurse enters the room of a teenager after the physician has obtained informed consent for a voiding cystourethrogram. The teenager asks the nurse to explain the procedure again. The nurse tells the client that the client is asked to void after:

injection of contrast dye into the bladder via a catheter

The RN is reviewing the discharge plans for a newborn with hypospadias. What statement by the parents indicates their understanding of the plan of care for hypospadias?

"Our child won't be circumcised until after surgery so the skin can be used during the repair"

A nurse is assisting with the admission of a toddler who has nephrotic syndrome. Which of the following objective data should the nurse anticipate collecting from the child?

3+ to 4+ protein in the urine

A nurse is taking care of a school-age child with acute glomerulonephritis who is taking potassium-sparing diuretics. The nurse anticipates discussing the diet with the child and his parents. The diet should include:

A sodium restriction

Which of the following problems is expected in a child who is in end-stage renal failure?

Anemia

The nurse admitting and assessing a teenage boy with suspected testicular torsion (twisted testicle) will most likely find which of the following manifestations in addition to possible nausea and vomiting and acute testicular pain?

Cremasteric reflex depressed or absent

The client in end-stage of renal failure had undergone kidney transplant. Which of the following assessment findings indicate kidney transplant rejection?

Decreased urinary output, sudden weight gain

A 12-year-old child has just been diagnosed with end-stage renal disease. The nurse gives the child instructions in which foods to avoid, including:

Apricots

A nurse is preparing to admit a child with possible hydronephrosis. What labs should the nurse expect to draw on this child?

BUN and Creatinine

A child, in renal failure, has hyperkalemia. The nurse plans to instruct that the child should avoid the following foods:

Carrots and green, leafy vegetables