Chapter 25: Genitourinary Disorders
The nurse knows that which statement is a description of peritoneal dialysis when compared to hemodialysis
the child can live a more normal lifestyle
The mother of a child brings the child in for an evaluation because "she is urinating all of the time." The child is having her urine checked. When reviewing the results, the nurse notes that the urine is positive for glucose. The nurse interprets this as which of the following?
this may suggest diabetes
The nurse is teaching an in-service program to a group of colleagues on the topic of children diagnosed with acute glomerulonephritis. In which age range is the peak incidence of this disorder noted?
6-7 y.o.
The nurse is collecting data on a 6-year-old child admitted with acute glomerulonephritis. Which vital sign would the nurse anticipate with this child's diagnosis?
BP 136/84
A caregiver brings her 7-year-old son to the pediatrician's office, concerned about the child's bedwetting after being completely toilet trained even at night for over 2 years. The caregiver further reports that the child has wet the bed every night since returning home from a 1-week fishing trip. The child refuses to talk about the bedwetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out what possible explanation for the bedwetting?
sexual abuse
The nurse is collecting data on a 6-year-old child admitted with a possible urinary tract infection. Which vital sign might indicate the possibility of an infection?
HR 135
Parents are asking about the long-term prognosis for their child with polycystic kidney disease (PKD). Which of the following would be the best response by the nurse?
Long-term prognosis is variable
The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?
take the child's BP and report the findings to the nurse on the phone
Which goal of therapy would be appropriate for a nurse to establish with a client's family and a client who has a diagnosis of enuresis?
The client remains continent throughout the night
In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of care?
Weighing on the same scale each day
To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate?
abdominal circumference
The nurse is caring for a child who receives dialysis via an AV fistula. Which finding indicates an immediate need to notify the physician?
absence of.a thrill
The nurse is caring for a 1-year-old client with nephritis who is receiving intravenous (IV) antibiotic therapy. Which of the following would be most important for the nurse to document for this infant?
amount of solution infused on the I/O record
Which child will the nurse identify as at greatest risk for developing a urinary tract infection?
an 8-month-old bottle-fed female with HIV
The nurse is caring for a child admitted with acute glomerulonephritis. Which clinical manifestation would likely have been noted in the child with this diagnosis?
tea-colored urine
The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position?
semi-fowler
A child is being evaluated for renal and urinary tract disease. What would the nurse expect to be ordered to evaluate the child's glomerular filtration rate?
creatinine clearance rate
A 7-year-old boy has experienced repeated urinary tract infections (UTIs). His older sister also experienced repeated UTIs and was diagnosed with vesicoureteral reflux, a condition that tends to appear in families. Therefore, the nurse suspects this same condition in this client. Which diagnostic tests would confirm this suspicion?
cystoscopy
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children. What would be the best way to prevent this?
encourage the child to finish all antibiotics
The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is most helpful? Select all that apply.
female urethras are shorter, change diapers promptly, fevers are common with UTIs
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
hypertension
Most urinary tract infections seen in children are caused by:
intestinal bacteria
A newborn is diagnosed with hypospadias and the parents want him to be circumcised. Which response by the nurse would be most appropriate?
it's important to have your son seen by a urologist because the foreskin is needed for repair
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is:
obtaining a clean catch voided urine
The nurse is triaging clients as they come in to an urgent care facility. Which assessment finding is clinically significant for early nephrotic syndrome?
periorbital edema
The nurse is caring for a 6-year-old child with acute glomerulonephritis. When reviewing the client's laboratory results, which result is most important to review with the health care provider?
positive culture for group A streptococcus
A child is scheduled to undergo a voiding cystourethrogram (VCUG). When teaching the parents about this procedure, which information would the nurse include?
rules out vesicoureteral reflux (VUR)
The home health care nurse is visiting a child undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD? Select all that apply.
weight gain, SOB
