ADN5 Chap 43: Child With an Alteration in Urinary Elimination/Genitourinary Disorder

The nurse is discharging a client diagnosed with bacterial vaginosis. Which statement would indicate to the nurse that the client has a correct understanding of the discharge instructions?

"I will always use a condom with any further sexual encounters."

The normal urine output of the infant and child is _____ to _____ mL/kg/hr.

0.5 - 2 mL/kg/hr

If the testes are not descended by ____ months of age, the infant should be referred for surgical repair.

12 months

Testicular torsion may occur at any age but most commonly occurs in boys aged?

12-18 years

The renal system normally reaches functional maturity by about what age?

2 years old

Urinary tract infections are usually successfully treated by what means?

Administering antibiotics

______________ account for a large proportion of genitourinary disorders in infants.

Congenital disorders

_______________ level is a more direct measure of renal function.

Creatinine

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

Endoscopic evaluation of the urethra and bladder is achieved with?

Cystoscopy

______________ most commonly causes UTI, as it is usually found in the perineal and anal regions, close to the urethral opening.

E. Coli

__________________ is the most common cause of pain in the scrotum.

Epididymitis

Abnormal position of the genital tubercle with the urethral opening on the dorsal/superior aspect of the surface associated with bladder exstrophy.

Epispadia

Condition resulting from antigen-antibody complex from recent strep infection. Signs and symptoms include headache, elevated BP, facial/periorbital edema, lethargy, low grade fever, and dysuria.

Glomerulonephritis

Fluid in the scrotal sac, is usually a benign and self-limiting disorder

Hydrocele

When providing care to a child with vesicoureteral reflux (VUR), which nursing diagnosis would be the priority?

Risk for infection

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.

A testicle is abnormally attached to the scrotum and twisted

Testicular torsion

_____________ is considered a surgical emergency, as necrosis of the testis may occur, and gangrene may set in.

Testicular torsion

The nurse is caring for a 5-month-old boy with an undescended left testis. What would the nurse identify as indicative of true cryptorchidism?

Testis cannot be "milked" down inguinal canal

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 situation would require immediate attention by the nurse?

The child does not have intravenous access

Hydrocele is not associated with infertility, but varicocele can result in infertility if left untreated. True or False?

True

The swelling and inflammation of the urethra and ureter caused by bacteria or a virus.

Urethritis

The infant or toddler may void how many times a day on average?

as many as 9-10 times a day

Epididymitis (inflammation of the epididymis) is caused by?

bacterial infection

In order to hear Korotkoff sounds more clearly during manual blood pressure measurement in the infant or young child, use the ______ of the stethoscope.

bell

The infant's kidneys demonstrate a ___________ ability to concentrate urine and reabsorb amino acids, thus the infant is at higher risk for dehydration as compared with older children and adults.

decreased

BUN may be __________ in the presence of dehydration or a high-protein diet.

elevated

The nurse is concerned about the pediatric client's immune system after taking corticosteroids. Which laboratory study is the nurse most correct to assess?

leukocyte count

______________ dialysis uses the child's abdominal cavity as a semipermeable membrane to help remove excess fluid and waste products

peritoneal dialysis

Which laboratory test result would be most important for the nurse to assess in a child who is suspected of having a urinary tract infection?

urinalysis

A 4-year-old child with a urinary tract infection is scheduled to have a voiding cystourethrogram. When preparing the child for this procedure, the nurse would want to prepare the child to:

void during procedure

A nurse has just admitted a client with symptoms of vulva inflammation, pain, odor, and pruritus. Based on these findings, the nurse could conclude that this client will be diagnosed with which condition?

vulvovaginitis

A child is hospitalized with nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema?

weight, daily

A parent asks the nurse, "What is precocious puberty?" The nurse's response should be based on which statement?

Early sexual development

A nurse is performing postoperative care on a child with a ureteral stent. Which intervention will help manage bladder spasms?

Encourage high fluid intake

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.

This syndrome is defined by three features—hemolytic anemia, thrombocytopenia, and acute renal failure.

Hemolytic Uremic Syndrome (HUS)

A condition in which the pelvis and calyces of the kidney are dilated

Hydronephrosis

The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?

Hypertension

Failure of the urogenital folds to close with the urethral opening on the ventral/inferior surface of the penis.

Hypospadia

Signs and symptoms of acute renal failure include:

Loss of appetite SOB Irregular heartbeat CP or pressure Decreased urine output Edema

Avoid use of _________ in children with questionable renal function, as the action of antiprostaglandin action of these drugs may cause a further decrease in the glomerular filtration rate.

NSAIDs

Nephrotic syndrome presents with what signs and symptoms?

Nausea or vomiting (may be related to ascites) Recent weight gain History of periorbital edema upon waking, progressing to generalized edema throughout the day Weakness or fatigue Irritability or fussiness

_______________ syndrome occurs as a result of increased glomerular basement membrane permeability, which allows abnormal loss of protein in the urine.

Nephrotic syndrome

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

Which clinical manifestation should a nurse recognize as most significant when assessing a client who is suspected of having female circumcision?

missing clitoris

Bladder capacity is about ___ mL in the newborn; it increases to the usual adult capacity of about ____ mL by 1 year of age

newborn = 30mL 1 year old/adult = 270mL

The nurse is reviewing the causative organisms noted on laboratory reports. Which organism is transmitted solely by sexual contact?

trichomonas

____________________ occurs as a result of increased glomerular basement membrane permeability, which allows abnormal loss of protein in the urine.

Nephrotic syndrome

A teacher sends a child to see the school nurse for irritability and bruising. Which symptom would be indicative of hemolytic uremic syndrome?

Oliguria and jaundice

A venous varicosity along the spermatic cord, is often noted as a swelling of the scrotal sac

Varicocele

While assessing a child with end-stage kidney disease, the nurse notes that the child has fallen into a coma. The nurse interprets this finding as resulting from which complication?

Uremia

A condition in which urine from the bladder flows back up the ureters.

Vesicoureteral reflux (VUR)

Inflammation of the vulva and vagina. Inflammation may occur as a result of bacterial or yeast overgrowth or from chemical factors such as bubble bath, soaps, or perfumes found in personal care products.

Vulvovaginitis