Deck 31: Alterations in Genitourinary Function

Question 1

A child is admitted to the hospital with a diagnosis of "rule out" urinary tract infection. A clean-catch urine specimen is submitted to the lab. When the results return, the nurse evaluates the findings. Which finding would the nurse question?

A)2+ White blood cells
B)1+ red blood cells
C)Urine appearance: cloudy
D)Specific gravity: 1009

Answer 1

Specific gravity: 1009

Question 2

A nurse is preparing to admit a child with possible obstructive uropathy. What labs should the nurse expect to draw on this child?

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

Answer 2

Blood urea nitrogen (BUN) and creatinine

Question 3

A child is scheduled for a kidney transplant. The nurse has completed the preoperative teaching to prepare the child and parents for the surgery and postoperative considerations. Which statement indicates that the parents understand the process involved with a kidney transplant?

A)"We're happy our child won't have to take any more medicine after the transplant."
B)"We understand our child won't be at risk anymore for catching colds from other children at school."
C)"We'll be glad we won't have to bring our child in to see the doctor again."
D)"We know it's important to see that our child takes prescribed medications after the transplant."

Answer 3

"We know it's important to see that our child takes prescribed medications after the transplant."

Question 4

Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now four hours since the child's surgery. Which assessment finding should be reported to the surgeon?

A)The infant has bloody urine.
B)The infant has voided one time since returning from surgery.
C)The infant seems to be having bladder spasms that respond favorably to anticholinergic medications.
D)Double diapering the infant has resulted in the stent being free from stool contamination.

Question 5

A baby is born with bladder exstrophy. Immediate care for this infant will include which intervention?

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 6

A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years. Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply.

A)Wear only nylon underwear for better air flow.
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 two hours throughout the day.

Question 7

A child is undergoing hemodialysis. The child should be monitored closely for: Standard Text: Select all that apply.

A)Migraines.
B)Hypotension.
C)Infections.
D)Fluid overload.
E)Shock.

Question 8

A teenage girl sees the school nurse to ask about a vaginal discharge that she has had for a month. The nurse suspects a sexually transmitted disease. What is the nurse's next step?

A)Notify the girl's parents.
B)Determine the girl's sexual partners.
C)Encourage the girl to go to the free clinic or her private health care provider for an examination and possible treatment.
D)Notify the health department of the sexually transmitted disease.

Question 9

Which sets of symptoms are characteristic of a preschool-age child with a urinary tract infection?

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

Question 10

A child with nephritic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. An important nursing intervention for this child would be to:

A)Monitor BP every 30 minutes.
B)Reposition the child every two hours.
C)Limit visitors.
D)Encourage fluids.

Question 11

A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:

A)Risk for injury related to hypertension.
B)Altered growth and development related to a chronic disease.
C)Risk for infection related to hypertension.
D)Fluid volume excess related to decreased plasma filtration.

Question 12

A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show which of the following?

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

Question 13

A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?

A)Massive proteinuria, hypoalbuminemia, and edema
B)Hematuria, bacteriuria, and weight gain
C)Urine-specific gravity decreased and urinary output increased
D)Gross hematuria, albuminuria, and fever

Question 14

A child in renal failure has hyperkalemia. The nurse plans to instruct the child and her parents to avoid which foods?

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

Question 15

A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings. Which finding requires notification of the physician?

A)The dialysate is clear on return.
B)The volume of drained dialysate is less than the volume infused.
C)The child is restless, wanting to get up and play.
D)The child's vital signs are basically the same as were noted on infusion.

Question 16

A child has undergone a kidney transplant and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to:

A)Suppress rejection.
B)Decrease pain.
C)Improve circulation.
D)Boost immunity.

Question 17

The surgeon is discussing plans for orchiopexy with the parents of an infant born with cryptorchidism. The parents are overwhelmed and do not hear much of the discussion. The nurse will clarify the surgeon's explanation by discussing that the risk of undescended testes include: Standard Text: Select all that apply.

A)Sperm production will be affected after puberty.
B)Abdominal testes are subject to injury.
C)Abdominal testes have a higher risk of developing cancer.
D)Hormonal production will be affected.
E)The testes are at greater risk of torsion.