Nokea
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me _down there'?' What is the nurse's best response?
- A. They are going to fix you up down there.'
- B. They will move your testicle from your abdomen to your scrotum.'
- C. What do you think your doctor is going to do?'
- D. You shouldn't worry. Your doctor knows exactly what to do.'
Correct Answer: C
Rationale: Encourage the patient to talk about what he knows and what feelings he has about the surgery.
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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.
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.
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).
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.
What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.)
- A. Diaper infant tightly.
- B. Protect skin around bladder.
- C. Position infant on back.
- D. Prepare for surgical closure.
- E. Cover exposed bladder with shield.
Correct Answer: B,C,D,E
Rationale: The infant is kept on his back or side with special attention to the skin around the exposed bladder, which is constantly bathed with urine.