Genitourinary Disorders
The nurse is caring for a client newly diagnosed with acute glomerulonephritis? When receiving the pediatric client's history, which is anticipated?
Onset of a streptococcus infection last week
The nurse determines that interventions for a voiding disorder have been effective when the family of a child with enuresis demonstrates evidence of which of the following?
Parents/family use positive coping mechanisms in response to the child and the voiding disorder
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 concerned mother brings her 3-year-old to the primary care office because of nighttime voiding. Which response made by the nurse is best?
Children are not expected to stay dry through the night until the age of 5
The nurse is caring for a young girl who is on antibiotic therapy for a urinary tract infection. The nurse instructs the parent to return to the clinic for a repeat clean-catch urine sample within which time frame?
3 days
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 to 7 years old
When assessing the infant for cryptorchidism, the nurse would be prepared for which of the following?
A bulge in the inguinal area
A 3-year-old child is exhibiting irritability, fever, and decreased appetite. A recent history of which of the following would make the nurse suspicious of a urinary tract infection (UTI)?
Abdominal pain
The nurse is discussing urinary tract infections (UTI's) in children with a group of peers. Which fact is the most accurate regarding urinary tract infection seen in children?
The most common age for UTIs in children is 2 to 6 years of age
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.
A fever is commonly noted with a UTI. Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males.
Which child has the highest risk of urinary tract infection?
An 18-year-old female who is sexually active
An infant with bladder exstrophy is awaiting surgical repair. What is the priority nursing intervention for the nurse to complete in the care for this infant?
Apply a barrier/healing cream or paste on the skin
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?
Blood pressure 136/84
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 school-age child is returning home after a renal biopsy. What teaching should the nurse provide to the patient and parents at this time? (Select all that apply.)
Drink a glass of fluid every hour while awake. Expect the first voided urine to be blood-tinged. Teach how to keep serial urine samples for 24 hours.
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children. What would be the best way to prevent this?
Encourage the child to take all the antibiotics if diagnosed with strep throat
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
Hypertension
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 see by a urologist because the foreskin is needed for repair
The mother of a 4-year-old client with nephrotic syndrome asks the nurse what can be done about the child's edema. Which action would the nurse suggest?
Provide a diet that is high in protein and potassium, low in salt, and is not fluid restricted
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?
Pulse rate 135 bpm
The nurse is providing a child with oxybutynin as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?
Relieves bladder spasms
The parent of 6-month-old girl is concerned about the child getting a urinary tract infection. What should the nurse mention to the parent regarding this concern?
Report any abnormally colored urine to the child's primary care provider
To prevent further urinary tract infections in a preschooler, what measures would you teach her mother?
Teach her to wipe her perineum front to back after voiding
The nurse is caring for a 1-year-old patient 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?
The amount of solution infused on the I&O record
The nurse knows that which statement is a description of peritoneal dialysis when compared to hemodialysis:
The child can live a more normal lifestyle
A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of the following situations would require immediate attention by the nurse?
The child does not have intravenous access.
The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?
The child has a greater risk for trauma to the kidney.
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?
The child has been sexually abused, maybe on the fishing trip
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged because of this. Which of the following responses would be most appropriate?
The child's risk for renal scarring is increased with pyelonephritis
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.
Which of the following would be included in the plan of care of a Tenckhoff catheter?
The dialysis nurse should perform a dressing change once per week initially
A parent asks if the newborn's undescended testicles will need surgery to repair. Which response by the nurse would be appropriate?
There is a chance the testicles will descend on their own
The mother of a child brings the child in for an evaluation because "she is urinating all of the time." A child is having her urine checked. When reviewing the results, the nurse notes that the urine is positive for glucose. The nurse interprets as which of the following?
This may suggest diabetes mellitus
A female adolescent comes to the clinic for an evaluation. Assessment reveals a possible urinary tract infection. What would the nurse expect to be done to confirm this suspicion?
Urine culture
Which instructions should a nurse give to a client who has a history of urinary tract infections to prevent recurrence? Select all that apply
Wipe from front to back. Encourage fluids throughout the day. Finish all antibiotics prescribed.
A group of nursing students is discussing terminology related to the genitourinary system during a post-conference setting. One of the students asks what mittelschmerz is or what it means. A classmate of this student correctly answers that mittelschmerz is:
a dull, aching abdominal pain at ovulation
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
A client has just been admitted to the unit with a history of recent strep infection, hematuria, and proteinuria. Based on these findings, the nurse would suspect which condition?
acute glomerulonephritis
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also has a headache, and his mother reports that his eyes are puffy. Although he had a fever 2 days ago, his temperature is now down to 100℉ (37.8℃). The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have:
acute glomerulonephritis
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
A child who has been diagnosed with minimal change nephrotic syndrome (MCNS) is being discharged after a 3-week hospitalization. Her edema has been greatly reduced and her appetite is beginning to return. Her caregivers have promised to have a family party to celebrate her return. The child has requested the following foods for the party. Which of these foods would the nurse suggest is appropriate for this child's diet?
banana splits
A 4-year-old boy with nephrotic syndrome has extensive edema. The best intervention to reduce periorbital edema would be to:
elevate the head of the bed
Most urinary tract infections seen in children are caused by:
intestinal bacteria
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 doing an in-service training with a group of peers on the topic of the genitourinary system. Which function is a major task of the kidneys?
regulate blood pressure
