Nokea
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.
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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.
Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
- A. Performing range-of-motion exercises on lower extremities
- B. Palpating the abdomen
- C. Assessing for bowel sounds
- D. Percussing ankle and knee reflexes
Correct Answer: B
Rationale: Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.
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.
A 7-year-old child has a BUN of 25 mg/dL. What is the nurse aware this lab value might indicate? (Select all that apply.)
- A. Dehydration
- B. Renal disease
- C. Need for steroid therapy
- D. Diabetes
- E. Pituitary malfunction
Correct Answer: A,B,C
Rationale: Increased BUN can indicate dehydration, renal disease, and/or need for steroid therapy.
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.