PEDS Exam 3: GI/GU Quiz

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An 8-year-old male client with nephrotic syndrome is in remission following treatment with prednisone. The nurse should teach the child and parents to check his urine for which finding?

Protein

A toddler is admittedto the pediatric unit with diarrhea and severe dehydration. After several days of treatment, the child is evaluated. What clinical findings indicate that the child is rehydrated? Select all that apply.

-Decreased hematocrit -Increase in daily weight -Decreased blood urea nitrogen level

A 9-year-old child sustains a fractured femur in a motor vehicle collision. Two days after surgery for repair of the fracture the nurse identifies a slight decrease in the child's hemoglobin level. What should the nurse do first concerning this clinical finding?

Assess the child's abdomen for internal bleeding.

A 4-week-old infant is found to have hypertrophic pyloric stenosis (HPS) and is scheduled for surgery. Oral feedings are usually initiated a few hours after surgery. What does the nurse expect the practitioner to prescribe initially?

Electrolyte solution

What should the plan of care for a newborn with hypospadias include?

Giving the parents reasons why circumcision should not be performed

What does a nurse identify as the priority short-term goal for a toddler with dehydration caused by diarrhea?

Improvement of fluid balance

An 8-month-old infant undergoes surgical correction for hypospadias. What is a priority nursing intervention during the postoperative period?

Minimizing pain with adequate analgesia

A 20-month-old is admitted to the hospital with a diagnosis of cryptorchidism. Surgical correction is performed at this time to decrease risk of:

Sterility

A nurse is obtaining the health history of a 5-year-old child who has been admitted to the child health unit with acute glomerulonephritis. What does the nurse expect the child's mother to report?

The child had a sore throat a few weeks ago.

A nurse is caring for a 9-month-old infant with severe dehydration. What does the nurse expect to note while completing a physical assessment of this infant?

Weak, rapid pulse


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