Nokea
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.
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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.
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: The ileal conduit diverts urine to the colon, and the urine is excreted with the feces, requiring no external appliance.
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.
What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct Answer: D
Rationale: Bananas are very high in potassium and should be avoided.
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).