Nokea
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
- A. Contact sports
- B. Horseback riding
- C. Alcohol
- D. Diuretic medications
Correct Answer: A
Rationale: Children who have only one kidney should avoid contact sports to prevent injury to that remaining organ.
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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.
A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause?
- A. Recovery from German measles 2 months ago
- B. Dysuria since the previous night
- C. A history of allergy
- D. A sore throat 2 weeks ago
Correct Answer: D
Rationale: Acute glomerulonephritis develops from 1 to 3 weeks after a streptococcal infection.
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.
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.
What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply.)
- A. Delayed immunization
- B. Hypertension
- C. Enlargement of the sex organs
- D. Alteration in nutrition
- E. Increased risk for infection
Correct Answer: A,E
Rationale: Delayed immunization and greater risk for infection are concerns relative to long-term prednisone therapy.