Nokea
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.
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The nurse is measuring output on an infant on the pediatric unit. When weighing the diaper and subtracting the weight of the dry diaper, the nurse records 30 g and documents this as mL.
Correct Answer: 30
Rationale: Diapers may be weighed on a gram scale before application and after removal (1 g = 1 mL).
The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. Which is the best beverage for the nurse to recommend to keep urine acidic?
- A. Milk
- B. Grape juice
- C. Apple juice
- D. Orange juice
Correct Answer: C
Rationale: Juices such as apple or cranberry help maintain acidity of urine.
The nurse explains the medically accepted definition of constipation is fewer than bowel movements in a 2-week period.
Correct Answer: 7
Rationale: The medically accepted definition of constipation is fewer than seven bowel movements in a 2-week period.
The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
- A. My daughter should wash and wipe the perineal area from front to back.'
- B. I am only going to have my daughter wear cotton underwear.'
- C. It is acceptable to take frequent bubble baths.'
- D. She needs to drink lots of fluids and void frequently.'
Correct Answer: C
Rationale: Oils in bubble bath and similar products are known to irritate the urethra.
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
- A. Contact sports
- B. Horseback riding
- C. Alcohol
- D. Diuretic medications
Correct Answer: A
Rationale: Children who have only one kidney should avoid contact sports to prevent injury to that remaining organ.