Nokea
When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
- A. No intervention is necessary as the defect will correct itself over time.
- B. Surgical repair of the hypospadias is done before 18 months of age.
- C. Corrective surgery is usually delayed until the preschool age.
- D. Repairing the defect will increase the risk of testicular cancer.
Correct Answer: B
Rationale: Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.
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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).
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 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.
The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
- A. Can interfere with the treatment for nephrosis.
- B. Require that the child have antibiotic coverage.
- C. Can be given in smaller, divided doses.
- D. Should be delayed.
Correct Answer: D
Rationale: No vaccinations or immunizations should be administered while the disease is active and during immunosuppressive therapy.
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.