Ch 26 study guide and success book
T/F: Hydronephrosis occurs when interference with urine flow leads to a backup of urine
True
T/F: Prevention is the most important goal in both primary and recurrent infection
True
The parent of a child with glomerulonephritis asks the nurse why the urine is such a funny color. What is the nurse's best response?
There is blood in your child's urine that causes it to be tea-colored
T/F: urinary tract infections are commonly seen in patients with obstructive uropathy
True
What is the hallmark of minimal-change nephrotic syndrome?
massive proteinuria
A child presents with massive proteinuria, hypoalbuminemia, hyperlipedemia, and edema. Which of the following conditions are these symptoms associated with
nephrotic syndrome
The single most important diagnostic lab test to detect renal problems is the
urinalysis
which child is at risk for developing glomerulonephritis?
3 year old who had impetigo (caused by strep) 1 week ago
Which child does not need a urinalysis to evaluate for a UTI
an 8 year old male presenting with a finger laceration; mother states he had surgical re-implantation of his ureters 2 years ago
A child had a UTI 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed normal results, the child has had no other problems until this visit when the child was diagnosed with another UTI; which is the most appropriate plan?
obtain urinalysis and cultures
Which of the following symptoms are commonly associated with acute poststreptococcal glomerulonephritis?
oliguria, edema, hypertension, and circulatory congestion, hematuria, and proteinuria
A 7 year old girl presents with a UTI. what clinical manifestations of a UTI are common to this age group?
painful urination, swelling of the face, pallor, blood in urine, and abdominal or back pain
An infant is scheduled for a hypospadias and chordee repair. The parent tells the nurse, "I understand why the hypospadias repair is necessary, but do they have to fix the chordee as well?" Which is the nurse's best response?
"The repair is done to optimize sexual functioning when he is older."
T/F: hypertension is a common result of glomerulonephritis
True
The nurse is caring for a newborn with hypospadias. His parents ask if circumcision is an option. What is the nurse's best response?
circumcision is an option, but it cannot be done at this time
Which finding requires immediate attention in a child with glomerulonephritis?
complaining of a severe headache and photophobia (may be signs of encephalopathy due to hypertension)
List 4 objectives of the therapeutic management of the child with a UTI
eliminate current infection identify contributing factors to reduce the risk of recurrence prevent systemic spread of infection preserve renal function
what organism is the most common uropathogen for UTIs in children
escherichia coli
What are some common symptoms of Vesicoureteral reflux
high fevers vomiting chills
The clinical manifestations of nephrotic syndrome are due to
increased premeability of the glomeruli
What should the nurse teach a group of girls and her parents about the importance of preventing UTIs
increasing fluids will help prevent and treat UTIS
What combination of signs is commonly associated with glomerulonephritis
mild proteinuria, hematuria, decreased urinary output, and lethargy
which statement by a parent is most consistent with minimal change nephrotic syndrome
my child missed 2 days of school last week because of a really bad cold
In the newborn, renal abnormalities may be associated with a number of other malformations. which of the following malformations are most commonly associated with renal abnormalities in infants?
neural tube defects and abnormal shape or position of the out ear
The nurse is caring for a 4 year old who weighs 15 kg. At the end of a 10 hour shift the nurse notes the urine output to be 150 ml. What action does the nurse take?
record child's urine output in the chart
what are 4 objectives of therapeutic management of nephrotic syndrome?
reduce excretion of urinary protein reduce fluid retention in tissues prevent infection minimize complications r/t therapies
What are 4 common side effects of steroid therapy in children?
weight gain rounded moon face behavioral changes increased appetite
The parents of a child with glomerulonephritis ask how they will know their child is improving after they go home. Which are the nurse's best responses
your child's output will increase, and the urine will become less tea-colored your child's weight will increase as the urine becomes less tea-colored
The bladder capacity of a 3 year old is approximately
5 fluid ounces
T/F: Reflux causes febrile UTI
F: reflux increases the chance of a UTI but doesn't cause it
T/F: A child with acute poststreptococcal glomerulonephritis who presents with hypertension and edema does not need to be placed on a diet with moderate sodium restriction and even fluid restriction
False
T/F: Hypospadias is where the urethral opening is located on the dorsal surface of the penis
False
T/F: The hazard of progressive renal injury is greatest when infection occurs in older children
False