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.
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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.
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.
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.
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.
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
- A. Ibuprofen, an anti-inflammatory agent
- B. Furosemide (Lasix), a diuretic
- C. Ciprofloxacin (Cipro), an antibiotic
- D. Cyclophosphamide (Cytoxan), an antisuppressant
Correct Answer: D
Rationale: A potent antisuppressant such as Cytoxan can bring about diuresis when corticosteroids have proven ineffective.
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