Genitourinary Disorders
A client has just been admitted to the unit with a history of recent strep infection, hematuria, and proteinuria. Based on these findings, the nurse would suspect which condition?
acute glomerulonephritis
The nurse is caring for a young girl who is on antibiotic therapy for recurrent urinary tract infections. The nurse instructs the parent to return to the clinic for a repeat clean-catch urine sample within which time frame?
7 days
The mother of a 4-year-old client with nephrotic syndrome asks the nurse what can be done about the child's edema. Which action would the nurse suggest?
Provide a diet that is high in protein and potassium, low in salt, and is not fluid restricted.
An 8-year-old girl is scheduled for a voiding cystourethrogram. After teaching the child and parents about the test, which statement indicates that the teaching was successful? Select all that apply.
"A catheter will be inserted to allow medicine to go into the bladder." "The first time she tries to urinate might be a bit painful." "She will have to urinate into a bedpan as x-rays are taken."
The nurse is collecting data on a 2-year-old child admitted with a diagnosis of urinary tract infection. When interviewing the caregivers, which question would be most important for the nurse to ask?
"Has your child complained of pain?"
A newborn is diagnosed with hypospadias and the parents want him to be circumcised. Which response by the nurse would be most appropriate?
"It's important to have your son seen by a urologist because the foreskin is needed for repair
The nurse is caring for a 10-year-old child experiencing nocturnal enuresis with no physiologic cause. The child states, "I am embarrassed and I wish I could stop this right now!" How will the nurse respond?
"There are several things we can do to help you achieve this goal."
A parent asks if the newborn's undescended testicles will need surgery to repair. Which response by the nurse would be appropriate?
"There is a chance the testicles will descend on their own."
A newborn is diagnosed with hypospadias and the parents want him to be circumcised. Which response by the nurse would be most appropriate?
"It's important to have your son seen by a urologist because the foreskin is needed for repair."
Urinary tract infections are usually successfully treated by what means?
Administering antibiotics
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 4-year-old boy with nephrotic syndrome has extensive edema. The best intervention to reduce periorbital edema would be to:
elevate the head of the bed
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with complications of the disorder?
hypertension
Most urinary tract infections seen in children are caused by:
intestinal bacteria.
The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is most helpful? Select all that apply.
A fever is commonly noted with a UTI. Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males
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."
The parents of a child recovering from surgery to repair vesicoureteral reflux ask the nurse if they can do anything to help with the care of their child. What will the nurse encourage the parents to do at this time?
Assist the child out of bed while keeping the drainage bags below the level of the catheter.
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
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
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.
A school-aged child diagnosed with glomerulonephritis is in the physician's office for a 6-month follow-up visit. Hematuria is found in the urine. The parents are concerned and want to know why the glomerulonephritis is not gone. What is the best response by the nurse?
Hematuria can remain in the urine for up to one year.
Parents are asking about the long-term prognosis for their child with polycystic kidney disease (PKD). Which of the following would be the best response by the nurse?
Long-term prognosis is variable
The nurse determines that interventions for a voiding disorder have been effective when the family of a child with enuresis demonstrates evidence of which of the following?
Parents/family use positive coping mechanisms in response to the child and the voiding disorder.
The nurse is triaging clients as they come in to an urgent care facility. Which assessment finding is clinically significant for early nephrotic syndrome?
Periorbital edema
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 situation would require immediate attention by the nurse?
The child does not have intravenous access.
The mother of a child brings the child in for an evaluation because "she is urinating all of the time." The child is having her urine checked. When reviewing the results, the nurse notes that the urine is positive for glucose. The nurse interprets this as which of the following?
This may suggest diabetes.
A nurse is providing education to parents of a child diagnosed with vesicoureteral reflux (VUR). Which would be included in the parental education?
This occurs when there is backflow of urine into the bladder and sometimes the kidneys.
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 instructions should a nurse give to a client who has a history of urinary tract infections to prevent recurrence? Select all that apply.
Wipe from front to back. Encourage fluids throughout the day. Finish all antibiotics prescribed.
The nurse is caring for a 1-year-old client with nephritis. The nurse is giving an IV antibiotic to the client. Which of the following is the most important documentation for the nurse to include for this client?
the amount of solution infused on the I and O record
The nurse is caring for a 1-year-old client with nephritis who is receiving intravenous (IV) antibiotic therapy. Which of the following would be most important for the nurse to document for this infant?
the amount of solution infused on the I&O record
When assessing the infant for cryptorchidism, the nurse would be prepared for which of the following?
a bulge in the inguinal area
A 3-year-old child is exhibiting irritability, fever, and decreased appetite. A recent history of which of the following would make the nurse suspicious of a urinary tract infection (UTI)?
abdominal pain
A 16-year-old girl has had several cases of cystitis in the past year. Which of the following should the nurse suspect as the cause, based on this finding?
sexual activity
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.
A caregiver brings her 7-year-old son to the pediatrician's office, concerned about the child's bedwetting after being completely toilet trained even at night for over 2 years. The caregiver further reports that the child has wet the bed every night since returning home from a 1-week fishing trip. The child refuses to talk about the bedwetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out what possible explanation for the bedwetting?
The child has been sexually abused, maybe on the fishing trip.
A client has just completed a renal biopsy. Which manifestation should be given priority attention?
The child is not voiding.
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged because of this. What is the best response by the nurse?
The child's risk for renal scarring is increased with pyelonephritis.
Which goal of therapy would be appropriate for a nurse to establish with a client's family and a client who has a diagnosis of enuresis?
The client remains continent throughout the night.
