Genitourinary Practice Q's
Which roommate would the nurse manager assign to a 4 year old boy who has been admitted to the unit with nephrotic syndrome?
*5-year-old girl with thalassemia* -Thalassemia is noninfectious
Which is the recommended size of the urinary catheter that can be used in a 3-year-old?
*8-10 Fr* -Infants = 5-6 Fr -Most adult clients = 14-16 Fr
The nurse is preparing to catheterize a 7-month-old girl to obtain a urine specimen. Which parent education would the nurse provide the infant's parents who express fear that this procedure will be painful for the baby?
*Although the concern is appropriate, the need for a sterile specimen is the priority*
A child with a history of diarrhea and decreased urine output is brought into the clinic with lethargy, abdominal ascites, and peripheral and periorbital edema. The child is found to have nephrotic syndrome and started on corticosteroid therapy. Which signs can the parents expect the child to exhibit after a week or two of medication?
*Diuresis* -Diuresis begins 1-3 weeks after start of steroid therapy -Diarrhea after diuresis stage
The nurse is assessing a toddler with vesicoureteral reflux. Which clinical finding would the nurse expect to identify?
*Dysuria* -UTI's common with this
When planning nursing care for a child with acute post streptococcal glomerulonephritis, which would the nurse emphasize that the child and family must maintain?
*Isolation from children with infections* -During the acute stage, anorexia and malaise lower infection resistance -High protein and high sodium foods should be avoided
Which nursing intervention would the nurse provide to an 8-month-old infant after surgical correction for hypospadias?
*Minimizing pain with adequate analgesia* -It also relaxes the infant who may be immobilized to maintain position of the urethral stent and to ensure optimal healing of newly formed urethra
Which intervention would the nurse include in the care of a child with Wilms tumor?
*Monitoring blood pressure* -Tumor is of renal origin and the RAA system could be involved -Don't put pressure on liver/abdomen because tumor could rupture
A child with a surgically corrected myelomeningocele will be attending nursery school, and the parents have concerns regarding their child's problems. Which guidance would the nurse provide in response to their concerns?
*See the nurse in person to discuss the child's needs more fully*
Which HCP order would the nurse anticipate for an infant with exstrophy of the bladder?
*Sterile nonadherant dressings* -Help *prevent infection* and ulceration of the surrounding skin, keep dry and clean -Parent education includes teaching how to identify signs of a *UTI*
An adolescent has pain, swelling, and inflammation of the testis, abdominal pain, and occasional immobilization of the scrotum. Which condition does the adolescent likely have?
*Testicular torsion*
A child with a repaired myelomeningocele has urinary incontinence and some flaccidity of the lower extremities. Which would the nurse teach their parents?
*The child will probably require a program of intermittent straight catheterization* -Most children with spina befits can be manages successfully with this program
A child is admitted with nephrotic syndrome. Which measures would the nurse expect to include in the plan of care for this child?
-Providing symptomatic care (treating azotemia with low-protein diet, bed rest if edema to conserve energy, fluid restriction, and treating infections) -Eliminating high sodium foods -Monitoring response to steroids -MOST IMPORTANT = PREVENTING INFECTION
After surgical repair of a urinary tract malformation, a school-aged child is to be discharged with an indwelling catheter. In the event of no urine drainage for 1 or more hours, place the interventions in order to be performed.
1. Checking. for blocked drainage tubing 2. Pressing on the abdominal wall just. above the bladder 3. Offering more fluids 4. Calling the HCP