Nokea
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.
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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.
What is an initial sign of nephrosis that the nurse might note in a child?
- A. Raspberry-like rash
- B. Periorbital edema
- C. Temperature elevation
- D. Abdominal pain
Correct Answer: B
Rationale: The edema of nephrotic syndrome is generalized and not readily noticed, even by the parents, but an early sign that can be assessed is periorbital edema.
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.
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.
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
- A. Infection
- B. Urinary retention
- C. Easy bruising
- D. Hypoglycemia
Correct Answer: A
Rationale: Prednisone depresses the immune response and increases susceptibility to infection.