NCM109 CHPT46&47
The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake is similar. Which statement would be accurate for the nurse to tell this mother?
"A girl's urethra is much shorter and straighter than a boy's, so it can be contaminated fairly easily."
A 15-year-old male client diagnosed with gonorrhea states, "I can't tell my partner about this." What is the best response by the nurse?
"What concerns you about telling your partner?"
Which child has the highest risk of urinary tract infection?
An 18-year-old female who is sexually active
What is an appropriate method of assessing for menorrhagia?
Ask how long it takes to saturate a tampon or a sanitary napkin.
The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse documents gross hematuria with a specimen of which color?
Cola colored
An adolescent comes to the clinic reporting vaginal discharge. When assessing the vaginal discharge, what would lead the nurse to suspect that the adolescent has candidiasis?
Thick, white cheese-like discharge
A public health nurse is instructing on the short-term and long-term effects of sexually transmitted infections. Which effects would be included? Select all that apply
emotional stress implications for fertility relationships with future partners
The nurse is caring for a client that has dysmenorrhea. Several nonpharmacologic options have been attempted with poor outcomes. When discussing pharmacologic agents to help with cramping, which medications are anticipated and inhibit prostaglandins?
ibuprofen acetylsalicylic acid (aspirin)
The nurse would document which finding as part of the gynecologic history of a 13-year-old female client?
moodiness, headache, or diarrhea before menses
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is:
performing a suprapubic aspiration.
A client has been admitted to the emergency department with nausea, vomiting, and severe scrotal pain. These findings indicate what condition?
testicular torsion
A teenager comes to the clinic with fever, muscle pain, and a macular rash on the palms and soles of the feet. Based on these findings, what diagnosis would the nurse anticipate for this client?
toxic shock syndrome
A child is having the urine checked for a routine well visit. When analyzing the results, what would positive leukocytes indicate?
This may indicate a urinary tract infection.
A nurse is working with parents of an 8-year-old girl diagnosed with precocious puberty. Which of the following would the nurse include in the teaching plan?
"Remember that she is still an 8-year-old girl, so focus your expectations on that."
A 15-year-old is diagnosed with mittelschmerz and spotting. The teen is upset about the diagnosis, stating, "I think I have appendicitis or something else." What is the best response by the nurse?
"You seem very upset. Is something else worrying you?"
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
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
A nurse is developing a teaching plan for the parents of an 8-year-old experiencing nocturnal enuresis. The nurse determines that additional teaching is needed when the parents identify what as an appropriate measure?
Encouraging fluid intake after dinner
A nurse is preparing a presentation for a local parent group about urinary tract infections (UTIs) in children. Which organism would the nurse incorporate into the presentation as the most common cause?
Escherichia coli
The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure?
Insisting that sexual partners use condoms
A 3-month-old boy is found to have undescended testes. The parents are concerned. What should the nurse anticipate as the next step for this client?
Reassess the client's testes at 6 months of age.
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.
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.
The nurse is working with a child with impaired urinary elimination. What is the purpose of monitoring the electrolytes and arterial blood gases (ABGs)?
This will determine if there is an acid-base problem.
The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The nurse suspects the cause as Candida albicans based on which finding?
White cottage cheese-like discharge
