EVOLVE: Chapter 44- Genitourinary Dysfunction

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. The nurse's BEST reply is:

"Acute hypertension, or high blood pressure, must be anticipated and identified."

A 3-year-old child is scheduled for surgery to remove a Wilms' tumor from one kidney. The parents ask the nurse about what treatments, if any, will be necessary after recovery from surgery. The nurse's best response is:

"Chemotherapy with or without radiation therapy is indicated."

A 6-year-old child with acute renal failure is being transferred out of the intensive care unit. Considering their diagnoses, which child would be the MOST appropriate roommate for this child?

5-year-old child who has a fractured femur

What is an appropriate nursing intervention while the child with nephrotic syndrome is confined to bed?

Adjusting activities to child's tolerance level

Which laboratory finding, in conjunction with the presenting symptoms, indicates nephrosis?

Hypoalbuminemia

A child is receiving cyclosporine following a kidney transplant. The nurse should include which information in the teaching plan about this medication? (Select all that apply.)

Purpose of medication is to suppress rejection. Frequent handwashing

A nurse is caring for an infant with a suspected urinary tract infection (UTI). Based on the nurse's knowledge of UTIs, which clinical manifestation would be observed? (Select all that apply.)

Vomiting Persistent diaper rash Failure to gain weight

A toddler is hospitalized with acute renal failure secondary to severe dehydration. The nurse should assess the child for what possible complication?

Water intoxication

An advantage of continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal dialysis (CAPD) for adolescents that require dialysis is that:

adolescents can carry out procedures themselves.

The nurse is caring for a child with Wilms' tumor. The MOST important nursing intervention before surgery is to:

avoid abdominal palpation

An important nursing consideration when caring for a child with end-stage renal disease (ESRD) is that:

multiple stresses are placed on children with ESRD and their families because the children's lives are maintained by drugs and artificial means.

The nurse should recognize which laboratory value as being abnormal?

pH: 4

A 5-year-old female child has been sent to the school nurse for urinary incontinence 3 times in the past 2 days. The nurse should recommend to her parent that the FIRST action is to have the child evaluated for:

possible urinary tract infection.

External defects of the genitourinary tract such as hypospadias are usually repaired as early as possible to:

promote development of normal body image.

A young child is diagnosed with vesicoureteral reflux. The nurse should know that this usually is associated with:

recurrent kidney infections.

In a non-potty-trained child with nephrotic syndrome, the best way to detect fluid retention is to:

weigh the child daily.