Genitourinary - The Point Questions

Surgical repair is often completed between ages 6 and 12 months. Save the diapers so that output can be measured. Delay the circumcision until the hypospadias is surgically repaired.

The nurse discovers a hypospadias during the physical assessment of a newborn. What information is most important? (Select all that apply.)

Administer in the morning, encourage fluids and voiding during and after administration

The nurse is administering cyclophosphamide as ordered for a 12-year-old boy with nephrotic syndrome. Which instruction is most accurate regarding administration?

Pat the perineal area dry after cleaning.

The nurse is applying a urine bag to a 15-month-old boy to collect a urine specimen. Which action would the nurse take first?

Urinalysis

The nurse is caring for a 10-year-old girl presenting with fever, dysuria, flank pain, urgency, and hematuria. The nurse would expect to help obtain which test first?

The boy has only begun wetting the bed and his pants recently, 1 year after being successfully potty-trained.

A 5-year-old boy occasionally wets his bed at night and his pants during the day. Which finding would indicate an organic cause—as opposed to a functional cause—of this enuresis?

Proteinuria, hypoalbuminemia, and hypercholesterolemia

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

The peritoneal dialysis should help the child with their growth and blood pressure.

A child needs to undergo peritoneal dialysis. What type of education would the nurse provide to the family about this process?

The need to withhold immunizations if the child is on steroids

A home health care nurse is providing follow-up care to a child with nephrotic syndrome. Which of the following would the nurse include as part of the child's plan of care?

"She can eat whatever she wants on dialysis days."

A nurse is caring for a 12-year-old girl recently diagnosed with end-stage renal disease. The nurse is discussing dietary restrictions with the girl's mother. Which response indicates a need for further teaching?

Oliguria and jaundice

A teacher sends a child to see the school nurse for irritability and bruising. Which symptom would be indicative of hemolytic uremic syndrome?

Cramping should not occur with an infusion.

A 10-year-old child in renal failure is on continuous ambulatory peritoneal dialysis (CAPD). What would be important to teach the parents?

Informing the child she should feel no discomfort

An 8-year-old girl is scheduled for a renal ultrasound. What would the nurse include in the plan of care when preparing the child for this test?

The need to avoid high-sodium foods

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?

"Has your child complained of pain?"

The nurse is collecting data on a 2-year-old child admitted with a diagnosis of urinary tract infection. When interviewing the caregivers, which question would be most important for the nurse to ask?

Abdominal circumference

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing?

Dirty green urine

The nurse obtains a history from the parent of a child with glomerulonephritis about how the child became ill. What would the nurse expect the parent to report?

Group A beta-hemolytic streptococci

The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder?

preventing skin breakdown

Which is a priority for the nurse caring for a client with bladder exstrophy?

Hallucinations. Blurred vision. Confusion.

While receiving hemodialysis, a child begins to show signs of dialysis disequilibrium syndrome. Which of the following would the nurse most likely assess? Select all that apply. Hallucinations Intense abdominal pain Blurred vision Confusion Fever