✅Ch 45 The Child with Genitourinary Dysfunction

A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show: a. Bacteriuria and hematuria. b. Hematuria and proteinuria. c. Bacteriuria and increased specific gravity. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 761 d. Proteinuria and decreased specific gravity.

B

A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child (Select all that apply)? a. Apples b. Bananas c. Cheese d. Carrot sticks e. Strawberries

A D E

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate? a. pH c. Creatinine clearance b. Osmolality d. Protein level

C

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching? a. You will need to decrease the number of calories in your childs diet. b. Your childs diet will need an increased amount of protein. c. You will need to avoid adding salt to your childs food. d. Your childs diet will consist of low-fat, low-carbohydrate foods

C

The most appropriate nursing diagnosis for the child with acute glomerulonephritis is: a. Risk for Injury related to malignant process and treatment. b. Deficient Fluid Volume related to excessive losses. c. Excess Fluid Volume related to decreased plasma filtration. d. Excess Fluid Volume related to fluid accumulation in tissues and third spaces

C

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurses best response should be that the: a. Blood pressure will stabilize. c. Urine will be free of protein. b. Child will have more energy. d. Urinary output will increase

D