PEDS-CHAPTER 24- Alterations in Genitourinary Function
At a well-child visit, a urine specimen is obtained from a child for testing. The nurse is reviewing the results which reveal positive leukocytes. The nurse interprets this as indicating which of the following?
possible UTI
A 10-year-old girl is experiencing acute renal failure due to dehydration. The nurse is preparing to administer IV fluid. Which of the following interventions should the nurse take in caring for this child?
administer the IV fluid slowly
The nurse is teaching the parent of a child with chronic renal failure on high-potassium foods that should be restricted. Which foods will the nurse include in this teaching? Select all that apply.
bananas, carrots, nuts, and milk
The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?
"lets put you in touch with some other girls who are also having the same body changes"
The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?
"we should notify the HCP if the drainage is cloudy"
An 8-year-old boy and his father visit the pediatricians office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect?
acute glomerulonephritis
A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's laboratory test results would reveal which finding?
decreased platelets and leukocytosis
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
The nurse is assessing an infant with suspected hemolytic uremic syndrome. Which characteristics of this condition should the nurse expect to assess or glean from chart review?
hemolytic anemia, thrombocytopenia, and acute renal failure
A nurse is performing an assessment on a child. What would be indicative of a potential for a urinary tract infection?
holding urine while at school
A nurse is assessing a child who may have peritonitis. Which of the following would be signs of this problem?
increased white blood cell count of dialysate outflow
The nurse is caring for a female preschool-aged patient with a UTI. What measures should the nurse teach the mother to prevent future infections?
teach the child to wipe the perineum front to back after voiding
A voiding cystourethrogram (VCUG) is prescribed for a child. What education should be provided to the parents?
the VCUG will rule out vesicoureteral reflux
A female preschool patient with a UTI is scheduled to have a voiding cystourethrogram. What should the nurse include when teaching the patient about this procedure?
the patient will be expected to void during the procedure
A child is having their urine checked for complaints of polyuria. When analyzing the results, what would positive glucose indicate?
this determines the presence of sugar in the urine
The nurse is caring for a child diagnosed with a UTI. The caregiver asks the nurse why it is so important for the child to have so much fluid. What is the most important reason the child needs increased fluids?
to dilute the urine and flush the bladder
The nurse is working with a child with altered genitourinary status. The child demonstrates excess fluid volume. Which of the following would the nurse most likely do?
weigh the child 2x/day on the same scale
The nurse is working with a child with altered genitourinary status. Which intervention would be included in the plan of care for the client with excess fluid volume?
weigh the child daily on the same scale
The nurse is caring for a child who is undergoing peritoneal dialysis. Immediately after draining the dialysate, which action should the nurse take immediately?
weigh the old dialysate
A nurse is caring for a 13-year-old boy with end-stage renal disease who is preparing to have his hemodialysis treatment in the dialysis unit. Which nursing action is appropriate?
withhold his routine medication until after dialysis is completed
