Nokea
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.
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What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
- A. Teach the child to minimize body movements.
- B. Change the child's position frequently.
- C. Keep the head of the child's bed flat.
- D. Keep edematous areas moist and covered.
Correct Answer: B
Rationale: The child should be turned frequently to prevent respiratory tract infection and to prevent pressure on delicate skin.
The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include?
- A. This is the most common form.
- B. Fertility will be unaffected.
- C. Surgical intervention is not recommended.
- D. An inguinal hernia may be present.
Correct Answer: D
Rationale: Inguinal hernia often accompanies bilateral cryptorchidism.
Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
- A. An undescended testicle can reduce fertility.'
- B. The testicle usually descends spontaneously during the first month of life.'
- C. Surgical correction reduces the risk for testicular tumors.'
- D. The optimal time to surgically correct the condition is at diagnosis.'
Correct Answer: A
Rationale: Although orchiopexy improves the condition, the fertility rate among patients may be reduced even when only one testis is undescended.
The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder? (Select all that apply.)
- A. Proteinuria
- B. Grossly bloody urine
- C. Hyperalbuminemia
- D. Fatigue
- E. Generalized edema
Correct Answer: A,B,D,E
Rationale: Nephrotic syndrome is characterized by proteinuria, grossly bloody urine, fatigue, and generalized edema, but hypoalbuminemia, not hyperalbuminemia.
An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect?
- A. Urinary tract infection
- B. Nephrosis
- C. Torsion
- D. Phimosis
Correct Answer: C
Rationale: Acute scrotal pain in a patient with a history of cryptorchidism may indicate testicular torsion, requiring immediate surgery.