Deck 46: Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder

Question 1

A female preschool patient with a urinary tract infection is scheduled to have a voiding cystourethrogram. What should the nurse include when teaching the patient about this procedure?

A) A headache is a common occurrence after the procedure.
B) A local anesthetic will be injected prior to the procedure.
C) The patient will be expected to void during the procedure.
D) The patient will have to drink three glasses of water during the procedure.

Answer 1

The patient will be expected to void during the procedure.

Question 2

The nurse is caring for a female preschool-age patient with a urinary tract infection. What measures should the nurse teach the mother to prevent future infections?

A) Suggest the child drink less fluid daily to concentrate urine.
B) Encourage the child to be more active to increase urine output.
C) Teach the child to wipe the perineum front to back after voiding.
D) Teach the child to take frequent tub baths to clean the perineal area.

Answer 2

Teach the child to wipe the perineum front to back after voiding.

Question 3

The nurse is planning a community health program to improve awareness of renal disease as one of the 2020 National Health Goals. What information should the nurse include in this program? (Select all that apply.)

A) Instruct on organ transplantation procedures.
B) Explain the importance of restricting fluids after 6 PM.
C) Review recommended foods to promote renal functioning.
D) Teach to limit the intake of milk and dairy products with meals.
E) Remind parents to provide antibiotics for streptococcal throat infections.

Answer 3

Instruct on organ transplantation procedures.
Remind parents to provide antibiotics for streptococcal throat infections.

Question 4

The nurse is providing a child with oxybutynin (Ditropan) as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?

A) Acidifies urine
B) Relieves bladder spasms
C) Stimulates kidney function
D) Prevents nausea and vomiting

Question 5

The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?

A) "The solution should be infused cold."
B) "Redness and warmth around the tube insertion site is expected."
C) "We should notify the health care provider if the drainage is cloudy."
D) "Weight gain and a productive cough are expected with the treatments."

Question 6

The parents of 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 should the nurse encourage the parents to do at this time?

A) Help the child with a tub bath.
B) Bring in games and other diversions to keep the child distracted while on bed rest.
C) Assist the child out of bed while keeping the drainage bags below the level of the catheter.
D) Provide hard candy to help with mouth dryness because the child will be on a fluid restriction.

Question 7

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing?

A) Appetite
B) Breathing rate
C) Tightness of shoes
D) Abdominal circumference

Question 8

A school-age child is returning home after a renal biopsy. What teaching should the nurse provide to the patient and parents at this time? (Select all that apply.)

A) Remove the dressing in 2 hours.
B) Resume regular activity level at home.
C) Drink a glass of fluid every hour while awake.
D) Expect the first voided urine to be blood-tinged.
E) Teach how to keep serial urine samples for 24 hours.

Question 9

The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder?

A) Group B streptococci
B) One of the rhinoviruses
C) Staphylococcus viridans
D) Group A beta-hemolytic streptococci

Question 10

The nurse is teaching the parent of a child with chronic renal failure on high-potassium foods that should be restricted. Which foods will the nurse include in this teaching? (Select all that apply.)

A) Bananas, carrots, nuts, and milk
B) Peaches, broccoli, and red meat
C) Oranges, potatoes, wheat, and bran
D) Spinach, chicken, fish, and green beans

Question 11

The nurse is prescribed to infuse 75 ml/kg of dialysate for a child's peritoneal dialysis treatment. The child weighs 77 lb. At the conclusion of the treatment, the nurse measures 3,000 ml of dialysate outflow. How much of the outflow should the nurse document as peritoneal fluid?

Question 12

The nurse is caring for a child experiencing hyperkalemia from renal failure. What should the nurse prepare to administer to this patient?

A) Milk
B) Fruit juice
C) Glucose and insulin
D) Sodium and increased fluid

Question 13

A child with chronic renal failure does not want to take the prescribed aluminum hydroxide gel because of the taste. What should the nurse tell the patient about the purpose of this medication?

A) Prevents an upset stomach
B) Assists with the absorption of calcium
C) Assists with elimination of potassium
D) Reduces absorption of phosphorus from the GI tract

Question 14

The nurse is concerned that a school-age child receiving intranasal desmopressin acetate (DDAVP) for enuresis is experiencing an adverse effect of the medication. What did the nurse assess in this patient? (Select all that apply.)

A) Thirst
B) Nausea
C) Flushing
D) Itchy skin
E) Headache

Question 15

The nurse is caring for a child recovering from a kidney transplant. Which nursing diagnosis should the nurse identify as the priority to guide the care for this patient?

A) Pain related to tissue rejection
B) Constipation related to effects of administered drugs
C) Risk for infection related to immunocompromised state
D) Deficient fluid volume related to fluid intake restrictions postoperatively