Nokea
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).
You may also like to solve these questions
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
- A. I will make sure he gets his measles vaccine as soon as he gets home.'
- B. He can stop taking his medication next week.'
- C. I should check his urine for protein when he goes to the bathroom.'
- D. He should eat a low-protein diet for the next few weeks.'
Correct Answer: C
Rationale: The parents should be instructed to keep a daily record of the child's urinary proteins.
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.
The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.)
- A. They may perceive the treatment as punishment.
- B. They are especially prone to separation anxiety.
- C. They are sexually curious and developmentally fixated on their genitals.
- D. They have a fear of castration.
- E. They fear death.
Correct Answer: A,B,C,D
Rationale: Preschool children undergoing genitourinary surgery may experience stress due to perceiving treatment as punishment, separation anxiety, sexual curiosity, and fear of castration.
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.
The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?
- A. It is very common in the newborn that one gonad is larger than the other.'
- B. Birth trauma caused bruising to the scrotum. It will reduce in size in a few days.'
- C. It is a collection of fluid that will most likely correct itself in a year.'
- D. The doctor will drain this collection of blood before your baby is discharged.'
Correct Answer: C
Rationale: These signs are indicative of a hydrocele, a collection of fluid in the scrotum that usually corrects itself in a year.