Exam 31: Caring for the Child With a Genitourinary Condition

A 6-year-old child is scheduled for a voiding cystourethrogram.Which action by the nurse is the most appropriate?

A student nurse wants to know why a bruit is heard and a thrill palpated at the site of an AV fistula used for dialysis.Which response by the nephrology nurse is the most appropriate?

The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen).Which response by the nurse is the most accurate?

A child is in the emergency department following a car crash.Which finding noted by the nurse warrants immediate intervention?

A nurse is preparing to administer gentamicin (Garamycin),IV,to a hospitalized child.Before administering the medication,the nurse checks the drug trough level,which is 13 µg/mL.Which action by the nurse is the priority for this child?

The nurse is planning discharge teaching for a child who just had a kidney transplant.Which information does the nurse provide regarding signs of rejection?

The pediatric clinic nurse calls a parent to report urinalysis findings for her child including microscopic hematuria.Which question by the nurse is most appropriate?

A child is receiving hemodialysis.The parents ask why hypotension is a possible complication.Which response by the nurse is the most appropriate?

A child has glomerulonephritis and hypertension.Which dietary modification is most appropriate for the nurse to suggest?

A nurse is obtaining a bagged urine collection on an infant.Which action by the nurse is most important?

A school-age child has renal disease and the parent wants to know how this could cause the child's hypertension.Which response by the nurse is the most appropriate?

A child is receiving home peritoneal dialysis.When the visiting nurse assesses the patient,he finds the outflow from the dialysis to be cloudy.Which action by the nurse is the most appropriate?

An infant appears dehydrated.Laboratory results indicate a serum sodium of 143 mEq/L.Which fluid would the nurse use for IV replacement?

A child presents to the pediatric clinic,where the parent reports that the child has had bloody diarrhea and joint pain.Which diagnostic test does the nurse prepare the child and parent for first?

A child has acute kidney injury following a serious motor vehicle crash.Which intervention takes priority?

A nurse is caring for a child with acute kidney injury (AKI)at home.The child's laboratory work is as follows: serum albumen 2.8 g/dL and serum protein 4 g/dL.Which action by the nurse is the most appropriate?

A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.

A faculty member is explaining complications of hemodialysis to a group of students.Which complications does the faculty member include in the discussion with the students?

An infant has poor feeding,fever,and malodorous urine.The parents do not want the nurse to catheterize the child.Which response by the nurse is the most appropriate?

An infant is born with exstrophy of the bladder but otherwise appears healthy.Which nursing diagnosis is the priority for this infant?