Quiz 3 (GI/GU)

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Testicular Torsion

A 12-year-old boy presents to the school nurse with sudden onset of severe left sided scrotal pain unrelieved by lifting of the scrotum. The school nurse understands that this could be which of the following conditions, which warrants immediate transport to the hospital?

massive proteinuria, hypoalbuminemia, and edema

A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?

Assure that the infant is wetting 6-8 diapers daily

A mother is breastfeeding her 3-week-old. How can the nurse determine that the mother is adequately breastfeeding?

Do not palpate abdomen

A mother notices a mass in her 3-year-old's abdomen when drying her off after a bath. The doctor has tentatively diagnosed her condition as Wilm's tumor. In pre-operative planning you should note which of the following on her care plan?

Boiled rice with butter

A nurse is teaching the mother of a newly diagnosed child with celiac disease. Which of the following foods would be appropriate for the child?

Depressed

The nurse has assessed a 3-month-old admitted with dehydration and diarrhea. Which assessment of the anterior fontanel would support the diagnosis of dehydration?

Vague abdominal/umbilical pain

The nurse is evaluating a school-age child with stomach pain. Which of the following would alert the nurse to a possible early appendicitis?

Urgency, dysuria, and fever

The school health nurse is worried one of her preschool children may have a urinary tract infection. Which of the following symptoms is characteristic of a preschool child with a urinary tract infection?

Organic causes (i.e. UTI, small bladder capacity) to enuresis should be checked out first

Which of the following is an important consideration when the nurse is discussing enuresis with the parents of a 2nd grader?

Use therapeutic play allowing the client to use miniature or actual equipment.

Which of the following is the best approach to use to explain to a 5 year old child who needs a nasogastric tube (NGT) inserted?


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