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Pediatrics - Renal
Terms in this set (24)
Which statement by a school-age girl indicates the need for further teaching about the
prevention of urinary tract infections (UTIs)?
a. "I always wear cotton underwear."
b. "I really enjoy taking a bubble bath."
c. "I go to the bathroom every 3 to 4 hours."
d. "I drink four to six glasses of fluid every day."
The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert
for which finding?
a. Increased urine output
c. Tea-colored urine
d. Weight gain
The mother of a child who was recently diagnosed with acute glomerulonephritis asks the
nurse why the physician keeps talking about "casts" in the urine. The nurse's response is
based on the knowledge that the presence of casts in the urine indicates
a. Glomerular injury
b. Glomerular healing
c. Recent streptococcal infection
d. Excessive amounts of protein in the urine
Which clinical finding warrants further intervention for the child with acute
a. Weight loss to within 1 lb of the preillness weight
b. Urine output of 1 mL/kg/hr
c. A positive antistreptolysin O (ASO) titer
d. Inspiratory crackles
What should the nurse include in a teaching plan for the parents of a child with
a. The importance of taking prophylactic antibiotics
b. Suggestions for how to maintain fluid restrictions
c. The use of bubble baths as an incentive to increase bath time
d. The need for the child to hold urine for 6 to 8 hours
Which intervention is appropriate when examining a male infant for cryptorchidism?
a. Cooling the examiner's hands
b. Taking a rectal temperature
c. Eliciting the cremasteric reflex
d. Warming the room
Parents ask the nurse "when should our child's hypospadias be corrected?" The nurse
responds based upon the knowledge that correction of hypospadias should be
accomplished by the time the child is
a. 1 month of age
b. 6 to 12 months of age
c. School age
d. Sexually mature
You are the nurse caring for a 4-year-old child who has developed acute renal failure as a
result of hemolytic-uremic syndrome (HUS). Which bacterial infection was most likely the
cause of HUS?
a. Pseudomonas aeruginosa
b. Escherichia coli
c. Streptococcus pneumoniae
d. Staphylococcus aureus
Which condition is characterized by a history of bloody diarrhea, fever, abdominal pain,
and low hemoglobin and platelet counts?
a. Acute viral gastroenteritis
b. Acute glomerulonephritis
c. Hemolytic-uremic syndrome
d. Acute nephrotic syndrome
A child with secondary enuresis who complains of dysuria or urgency should be evaluated
for which condition?
b. Nephrotic syndrome
A nurse is teaching a class on acute renal failure. The nurse relates that acute renal failure
as a result of hemolytic-uremic syndrome (HUS) is classified as
A true statement describing the differences in the pediatric genitourinary system compared
with the adult genitourinary system is that
a. The young infant's kidneys can more effectively concentrate urine than an adult's
b. After 6 years of age, kidney function is nearly like that of an adult.
c. Unlike adults, most children do not regain normal kidney function after acute
d. Young children have shorter urethras, which can predispose them to UTIs.
Which factor predisposes the urinary tract to infection?
a. Increased fluid intake
b. Short urethra in young girls
c. Prostatic secretions in males
d. Frequent emptying of the bladder
Hypospadias refers to
a. Absence of a urethral opening
b. Penis shorter than usual for age
c. Urethral opening along dorsal surface of penis
d. Urethral opening along ventral surface of penis
A child is admitted with acute glomerulonephritis. The nurse expects the urinalysis during
this acute phase to show
a. Bacteriuria and hematuria
b. Hematuria and proteinuria
c. Bacteriuria and increased specific gravity
d. Proteinuria and decreased specific gravity
Which statement is descriptive of renal transplantation in children?
a. It is an acceptable means of treatment after age 10 years.
b. It is preferred means of renal replacement therapy in children.
c. Children can receive kidneys only from other children.
d. The decision for transplantation is difficult, since a relatively normal lifestyle is
The nurse is assessing a newborn and notes that the urinary meatus is inferior to its usual position. The nurse documents that this newborn has __________.
A gynecologist examines a 19-year-old female who has not yet had menses occur. When documenting this finding in the medial record, the nurse states that the patient is experiencing primary __________.
The nurse educator is teaching a group of students about the risk factors for urinary tract infections (UTIs). Which risk factors if stated by the students indicate an appropriate understanding of the information presented?
SELECT ALL THAT APPLY
1) Urinary stasis
3) Unexplained proteinuria
5) Unexplained hematuria
1, 2, 4
The nurse performing a physical assessment of a school-age child learns from the child's parents that their daughter has a single kidney and the child's urine has been brownish lately. Based on this data, the nurse explains that a diagnostic test may be ordered to assess for which item in the urine?
An adolescent 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.
1) The torsed testicle may be lower in the scrotal sack than the opposite testicle.
2) The situation is bilateral.
3) The testicle may feel hard.
4) Prehn's sign is usually absent in torsion.
5) The adolescent's temperature is 101.8°F.
3, 4, 5
The nurse is caring for an infant who is diagnosed with a urinary tract infection (UTI). Which symptom does the nurse anticipate when assessing this infant?
2) Poor feeding
3) Flank pain
The clinical nurse examining a newborn documents the condition __________________, which is defined as absent, undescended, or ectopic testicles and is the most common male congenital anomaly, noted in 1% of all newborns.
The student nurse studying renal failure knows that hemolytic uremic syndrome (HUS) is considered the most common cause of acute renal failure in children. This disease is most commonly associated with children ingesting beef contaminated with _________ ____________.
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