Deck 37: Child With a Genitourinary Condition

Question 1

Which data collected by the nurse support the diagnosis of isotonic dehydration for a pediatric patient?

A) Emesis
B) Hemorrhage
C) Profuse sweating
D) Poor fluid intake

Answer 1

Hemorrhage

Question 2

Which clinical manifestations should the nurse anticipate upon assessment of a preschool-aged child with a UTI?

A) Headache,hematuria,and vertigo
B) Foul-smelling urine,elevated blood pressure (BP),and hematuria
C) Urgency,dysuria,and fever
D) Severe flank pain,nausea,and headache

Answer 2

Urgency,dysuria,and fever

Question 3

The nurse educator teaches a group of nursing students about the anatomy and physiology of the kidneys.Which statement made by a student indicates an appropriate understanding of the information presented?

A) "The medulla is composed of the glomeruli and convoluted tubules of the nephron and blood vessels,which filter the urine."
B) "The blood supply of the kidney is through a single renal artery that comes from each side of the aorta,one to each kidney."
C) "Blood flows into the glomerulus through the efferent arteriole and leaves through the afferent arteriole."
D) "The tubular components of the nephron are divided into four parts; the first part is a coiled portion termed the loop of Henle."

Answer 3

"The blood supply of the kidney is through a single renal artery that comes from each side of the aorta,one to each kidney."

Question 4

An adolescent is brought to the emergency department.The patient reports decreased urine output,headaches,and abdominal swelling.On the basis of these data,which condition does the nurse suspect?

A) Chronic glomerulonephritis
B) Vesicoureteral reflux
C) Acute hematuria
D) Unexplained proteinuria

Question 5

A school-aged child is diagnosed with pyelonephritis.When planning to teach the child's parents about this diagnosis,the nurse tells them that the infection is located in which structure?

A) Bladder
B) Renal pelvis
C) Renal parenchyma
D) Reproductive tract

Question 6

The nurse is caring for an infant who is diagnosed with a UTI.Which symptom does the nurse anticipate when assessing this infant?

A) Dysuria
B) Poor feeding
C) Flank pain
D) Enuresis

Question 7

Which instructions should be provided to the parents of a 4-year-old girl who has experienced chronic UTIs in the last 2 years? (Select all that apply.)

A) Wear only nylon underwear for better airflow.
B) Teach the child to wipe from front to back.
C) Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
D) Encourage the child to drink additional fluids throughout the day.
E) Plan potty breaks every 2 hours throughout the day.

Question 8

Which is the appropriate nursing intervention when providing care to a child diagnosed with nephrotic syndrome who is edematous and on bedrest?

A) Monitoring blood pressure every 30 minutes
B) Repositioning every 2 hours
C) Limiting visitors
D) Encouraging fluids

Question 9

An adolescent patient presents to the emergency department with acute scrotal pain.After the initial assessment,the nurse suspects testicular torsion.Which assessment data support this diagnosis? (Select all that apply.)

A) The torsed testicle may be lower in the scrotal sack than the opposite testicle.
B) The situation is bilateral.
C) The testicle may feel hard.
D) Prehn's sign is usually absent in torsion.
E) Temperature of 101.8°F

Question 10

Which is the correct hourly rate of IV fluid replacement for a child who weighs 25 kg?

A) 42 mL/hr
B) 63 mL/hr
C) 67 mL/hr
D) 83 mL/hr

Question 11

Which urinalysis result should the nurse anticipate for a child who is admitted with acute glomerulonephritis?

A) Bacteriuria and increased specific gravity
B) Hematuria and proteinuria
C) Proteinuria and decreased specific gravity
D) Bacteriuria and hematuria

Question 12

Which type of urine specimen is collected when the nurse places a cotton ball in the diaper of a newborn or infant?

A) Sterile
B) Uro bag
C) Clean catch
D) Midstream sample

Question 13

Which clinical manifestations assessed when performing a genitourinary assessment for a child diagnosed with hemolytic uremic syndrome could indicate the need for dialysis? (Select all that apply.)

A) Edema
B) Tachypnea
C) Bradycardia
D) Fluid retention
E) High BP

Question 14

Which is the priority nursing intervention when caring for a neonate who is born with bladder exstrophy?

A) Measuring intake and output
B) Inserting a Foley catheter
C) Covering the defect with sterile plastic wrap
D) Palpating the bladder mass to ensure urine is expelled

Question 15

Which laboratory test should the nurse prepare to draw when admitting a pediatric patient with possible obstructive uropathy?

A) Platelet count
B) Blood urea nitrogen (BUN)
C) Partial thromboplastin time (PTT)
D) Blood culture

Question 16

The nurse educator is teaching a group of students about the risk factors for UTIs.Which risk factors stated by the students indicate an appropriate understanding of the information presented? (Select all that apply.)

A) Urinary stasis
B) Obstruction
C) Unexplained proteinuria
D) Reflux
E) Unexplained hematuria

Question 17

The nurse is providing care to a 4-year-old patient who is experiencing nocturnal incontinence.Which parental statement indicates the need for further education?

A) "Bed-wetting is typically self-limiting."
B) "We should limit fluids after lunchtime."
C) "We should not punish our child for bed-wetting."
D) "Bed-wetting can be treated with a drug that reduces urine production at night."

Question 18

The nurse is performing a physical assessment of a school-aged child with a history of urinary tract infection (UTI).The child's urine has been brownish lately.On the basis of these data,the nurse explains that a diagnostic test may be ordered to assess for which item in the urine?

A) Ketones
B) Hematuria
C) Proteinuria
D) Calcium

Question 19

Which congenital anomaly should the nurse document when providing care to a newborn with abnormal positioning of the urinary meatus?

A) Hydrocele
B) Micropenis
C) Hypospadias
D) Cryptorchidism

Question 20

Which menu choices for a child diagnosed with urinary disorder leading to hyperkalemia indicate the need for further instruction by the nurse?

A) Carrots and green,leafy vegetables
B) Spaghetti and meat sauce with breadsticks
C) Hamburger on a bun and cherry gelatin
D) Chips,cold cuts,and canned foods