Exam 31: Caring for the Child With a Genitourinary Condition

A nurse is explaining to a group of students that there are certain criteria that are met before a child starts renal replacement therapy.Which of the following criteria does the nurse include in the discussion with the students?

A nurse is assigned to care for four children who have acute kidney injury (AKI).Which child should the nurse see first after obtaining the handoff report?

A child is being treated for nephrotic syndrome.Which assessment finding indicates that an important goal for this child is being met?

A child has just returned to the pediatric intensive care unit after having a kidney transplant.Which assessment takes priority for this child?

A child is hospitalized with acute kidney injury (AKI)and has a critical hyperkalemia.Which order would the nurse question as inappropriate for this child?

A school-age boy is in the emergency department with testicular torsion.Which action by the nurse takes priority for this patient?

The nurse is explaining the RIFLE classification of kidney injury to a student.Which options are included in this system?

The student studying the renal system learns that the kidneys have several functions.Which options are functions of the kidneys?

An adolescent male patient had an orchiopexy for cryptorchidism as an infant.Which health promotion activity does the nurse educate this patient about?

A child is brought to the pediatric clinic,where the parent reports that the child has tea-colored urine and puffy eyes.Which diagnostic test does the nurse prepare the parent and child for based on the assessment findings?

An adolescent on the cross-country track team had a urinalysis during a school physical that showed proteinuria.Which action by the nurse is the most appropriate?

A child is prescribed gentamycin (Garamycin)and develops acute kidney injury.Which etiology is the most likely cause of the child's acute kidney injury?

An acutely ill child is admitted for a suspected severe urinary tract infection (UTI).Which is the priority action by the nurse?

A child has acute kidney injury (AKI).Which primary acid-base balance does the nurse assess the child for?

The parents of a child diagnosed with vesicoureteral reflux (VUR)want to know why their child's kidneys appear large on an abdominal x-ray.Which response by the nurse is the most appropriate?

A nurse is providing teaching on toilet training to a parent education group.Which signs of training readiness does the nurse explain to the parents?

A school-age female child has a urinary tract infection (UTI).The culture has come back positive for Escherichia coli.Which teaching measure is most important for the nurse to include in the teaching plan?

A new mother asks the nurse why babies are more prone to dehydration than adults.Which rationales from the nurse best answer this mother's question?

The student learns that which hormones are regulated by the kidneys?

A nurse is caring for a child who is scheduled for a kidney biopsy.The prebiopsy laboratory results indicate a platelet count of 88,000,pH of 7.28,and potassium of 5.8 mEq/L.Based on these laboratory results,which action by the nurse is the most appropriate?