Nokea
A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?
- A. Providing activities for the child on restricted activity
- B. Feeding the child a protein-restricted diet
- C. Carefully handling edematous extremities
- D. Observing the child for evidence of hypotension
Correct Answer: A
Rationale: Although children may feel well, activity is limited until hematuria resolves.
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A parent tells the nurse that her child is scheduled for an x-ray of the bladder and urethra that is done while the child is urinating. What is this test known as?
- A. Cystometrogram
- B. Cystoscopy
- C. Voiding cystourethrogram
- D. Intravenous pyelogram
Correct Answer: C
Rationale: An x-ray examination of the bladder and urethra before and during micturition is called a voiding cystourethrogram.
The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.)
- A. They may perceive the treatment as punishment.
- B. They are especially prone to separation anxiety.
- C. They are sexually curious and developmentally fixated on their genitals.
- D. They have a fear of castration.
- E. They fear death.
Correct Answer: A,B,C,D
Rationale: Preschool children undergoing genitourinary surgery may experience stress due to perceiving treatment as punishment, separation anxiety, sexual curiosity, and fear of castration.
During a physical assessment of a hospitalized 5-year-old child, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement?
- A. Forcibly push the foreskin down over the head of the penis.
- B. Place a warm compress on the penis.
- C. Notify the charge nurse.
- D. Wait a few hours and try again.
Correct Answer: C
Rationale: Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the penis; this should be remedied immediately.
A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
- A. Urinary tract infection
- B. Nephrotic syndrome
- C. Acute glomerulonephritis
- D. Vesicoureteral reflux
Correct Answer: A
Rationale: Urinary frequency and pain during micturition are symptoms of acute urinary tract infection.
When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
- A. No intervention is necessary as the defect will correct itself over time.
- B. Surgical repair of the hypospadias is done before 18 months of age.
- C. Corrective surgery is usually delayed until the preschool age.
- D. Repairing the defect will increase the risk of testicular cancer.
Correct Answer: B
Rationale: Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.