Deck 22: Genitourinary Elimination

Question 1

As a pediatric nurse, what is the most effective means to determine a child's fluid status?

A) Assess capillary refill
B) Insert a Foley catheter to accurately measure urine output
C) Weigh all diapers
D) Obtain blood work for electrolyte imbalances

Answer 1

C

Question 2

The pediatric nurse should be aware that, because infants sit in diapers soiled with stool, they are most susceptible to urinary tract infections caused by which microbe?

A) Klebsiella
B) Escherichia coli
C) Proteus mirabilis
D) Staphylococcus saprophyticus

Answer 2

B

Question 3

If an adolescent presents with symptoms of a urinary tract infection accompanied with chills, fever, and flank pain, for what medical condition should this adolescent be assessed?

A) Pyelonephritis
B) Glomerulonephritis
C) Chlamydia
D) Trichomoniasis

Answer 3

A

Question 4

A sexually active young woman presents with dysuria and vaginal discharge. Test results are positive for gonorrhea. With which medication would you treat this condition?

A) Penicillin
B) Azithromycin
C) Ceftriaxone
D) Metronidazole

Question 5

A child with a recent history of streptococcal infection presents with dyspnea, headache, hypertension, and dark brown urine that resembles strongly brewed tea. As a pediatric nurse, with which medical condition should this child be diagnosed?

A) Pyelonephritis
B) Acute glomerulonephritis
C) Hemolytic uremic syndrome
D) Hydronephrosis

Question 6

If a child presents with hemolytic uremic syndrome, what will the healthcare team find upon assessment?

A) Fluid overload and genital bruising
B) Fluid overload and abdominal mass
C) Dehydration and genital bruising
D) Dehydration and oral bruising

Question 7

As pediatric nurse, you should be aware that nephrotic syndrome is associated with the development of large pores on the final filtration membrane of the child's kidney. This results in the significant loss of which product into the urine?

A) Blood
B) Glucose
C) Protein
D) White blood cells

Question 8

Hemolytic uremic syndrome is a rare and potentially lethal form of kidney failure in children who develop an infection caused by either Escherichia coli 0157.H7 or Escherichia coli 0111. Outbreaks of this condition are more common in the summer because the initial infections may be come from which source?

A) Insect bites
B) Consuming inadequately cooked food
C) Swimming pool chemicals entering the body through an open wound
D) Bacteria adhering to an exposed body part

Question 9

Children and teens with STIs may present with genital discharge with or without odor, genital pain, dysuria, and lesions. However, the majority of males and females with which medical condition are asymptomatic?

A) Syphilis
B) Chlamydia
C) Gonorrhea
D) Trichomoniasis

Question 10

As a pediatric nurse, you should be aware that a male child or teen experiencing a sickle cell anemia vaso-occlusive episode may experience what male genitourinary disorder?

A) Priapism
B) Hypospadias
C) Cryptorchidism
D) Testicular torsion