Quiz
CHP 29
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Fragen in diesem Quiz (28)
1The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
- AMy daughter should wash and wipe the perineal area from front to back.
- BI am only going to have my daughter wear cotton underwear
- CIt is acceptable to take frequent bubble baths.
- DShe needs to drink lots of fluids and void frequently.
2When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
- ANo intervention is necessary as the defect will correct itself over time.
- BSurgical repair of the hypospadias is done before 18 months of age.
- CCorrective surgery is usually delayed until the preschool age.
- DRepairing the defect will increase the risk of testicular cancer.
3What is an initial sign of nephrosis that the nurse might note in a child?
- ARaspberry-like rash
- BPeriorbital edema
- CTemperature elevation
- DAbdominal pain
4What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
- AInfection
- BUrinary retention
- CEasy bruising
- DHypoglycemia
5During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement?
- AForcibly push the foreskin down over the head of the penis.
- BPlace a warm compress on the penis.
- CNotify the charge nurse.
- DWait a few hours and try again.
6A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?
- AProviding activities for the child on restricted activity
- BFeeding the child a protein-restricted diet
- CCarefully handling edematous extremities
- DObserving the child for evidence of hypotension
7Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- AUrostomy
- BIleal conduit
- CNephrostomy
- DSuprapublic placement
8The 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?
- ACan interfere with the treatment for nephrosis
- BRequire that the child have antibiotic coverage
- CCan be given in smaller, divided doses
- DShould be delayed
9Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
- AIbuprofen, an anti-inflammatory agent
- BFurosemide (Lasix), a diuretic
- CCiprofloxacin (Cipro), an antibiotic
- DCyclophosphamide (Cytoxan), an antisuppressant
10What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
- ADairy products
- BWhole-grain cereals
- COrgan meats
- DBananas
11Which physical assessment technique will the nurse omit when caring for a 2-year-old diagnosed with Wilms tumor?
- APerforming range-of-motion exercises on lower extremities
- BPalpating the abdomen
- CAssessing for bowel sounds
- DPercussing ankle and knee reflexes
12Parents are speaking with the urologist about their sons undescended testicle. Which statement by the childs father causes the nurse to determine he understands the information presented?
- AAn undescended testicle can reduce fertility.
- BThe testicle usually descends spontaneously during the first month of life.
- CSurgical correction reduces the risk for testicular tumors.
- DThe optimal time to surgically correct the condition is at diagnosis.
13A 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?
- ACystometrogram
- BCystoscopy
- CVoiding cystourethrogram
- DIntravenous pyelogram
14A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
- AUrinary tract infection
- BNephrotic syndrome
- CAcute glomerulonephritis
- DVesicoureteral reflex
15What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
- AReach the child to minimize body movements.
- BChange the childs position frequently.
- CKeep the head of the childs bed flat.
- DKeep edematous areas moist and covered.
16Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
- AI will make sure he gets his measles vaccine as soon as he gets home.
- BHe can stop taking his medication next week.
- CI should check his urine for protein when he goes to the bathroom.
- DHe should eat a low-protein diet for the next few weeks.
17A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the childs history, what does the nurse recognize as the probable cause?
- ARecovery from German measles 2 months ago
- BDysuria since the previous night
- CA history of allergy
- DA sore throat 2 weeks ago
18The 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?
- AMilk
- BGrape juice
- CApple juice
- DOrange juice
19The 6-year-old scheduled for an orchiopexy shyly asks the nurse, What are they going to do to me down there? What is the nurses best response?
- AThey are going to fix you up down there.
- BThey will move your testicle from your abdomen to your scrotum.
- CWhat do you think your doctor is going to do?
- DYou shouldnt worry. Your doctor knows exactly what to do.
20What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
- AContact sports
- BHorseback riding
- CAlcohol
- DDiuretic medications
21The parents of a newborn are concerned that their sons scrotum is enlarged and swollen on one side. What is the nurses best response?
- AIt is very common in the newborn that one gonad is larger than the other.
- BBirth trauma caused bruising to the scrotum. It will reduce in size in a few days.
- CIt is a collection of fluid that will most likely correct itself in a year.
- DThe doctor will drain this collection of blood before your baby is discharged.
22The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include?
- AThis is the most common form.
- BFertility will be unaffected.
- CSurgical intervention is not recommended.
- DAn inguinal hernia may be present.
23An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect?
- AUrinary tract infection
- BNephrosis
- CTorsion
- DPhimosis
24A 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.)
- ADehydration
- BRenal disease
- CNeed for steroid therapy
- DDiabetes
- EPituitary malfunction
25What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.)
- ADiaper infant tightly.
- BProtect skin around bladder.
- CPosition infant on back.
- DPrepare for surgical closure.
- ECover exposed bladder with shield.
26The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder? (Select all that apply.)
- AProteinuria
- BGrossly bloody urine
- CHyperalbuminemia
- DFatigue
- EGeneralized edema
27The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.)
- AThey may perceive the treatment as punishment.
- BThey are especially prone to separation anxiety.
- CThey are sexually curious and developmentally fixated on their genitals.
- DThey have a fear of castration.
- EThey fear death.
28What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply.)
- ADelayed immunization
- BHypertension
- CEnlargement of the sex organs
- DAlteration in nutrition
- EIncreased risk for infection
Informationen
- Beschreibung
- Quiz am CHP 29, erstellt von ALEX BO am 24/10/2022.
- Autor
- ALEX BO
- Sprache
- English
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