Question 1

When a child's ureter becomes completely obstructed from scarring, the nurse explains that urinary diversion may be necessary to prevent the reflux back into the renal pelvis from causing ____________________.

Accepted Answer

The answer of When a child's ureter becomes completely obstructed...

Question 2

The nurse clarifies that the urinary diversion procedure that would be least damaging to the body image of the adolescent would be:

Accepted Answer

A)  urostomy. 
B)  ileal conduit. 
C)  nephrostomy. 
D)  suprapubic placement.

Question 3

What special considerations are related to long-term prednisone therapy in preschoolers? Select all that apply.

Accepted Answer

A)  Delayed immunization 
B)  Hypertension 
C)  Enlargement of the sex organs 
D)  Alteration in nutrition 
E)  Increased risk for infection

Question 4

The initial sign of nephrosis that the nurse might note in the child would be:

Accepted Answer

A)  raspberry-like rash. 
B)  periorbital edema. 
C)  temperature elevation. 
D)  abdominal pain.

Question 5

The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. The nurse's best response would be:

Accepted Answer

A)  "It is very common in the newborn that one gonad is larger than the other." 
B)  "Birth trauma caused bruising to the scrotum. It will reduce in size in a few days." 
C)  "It is a collection of fluid that will most likely correct itself in a year." 
D)  "The doctor will drain this collection of blood before your baby is discharged."

Question 6

The 6-year-old scheduled for an orchiopexy shyly asks the nurse, "What are they going to do to me 'down there'?" The nurse's best response would be:

Accepted Answer

A)  "They are going to fix you up 'down there.'" 
B)  "They will move your testicle from your abdomen to your scrotum." 
C)  "What do you think your doctor is going to do?" 
D)  "You shouldn't worry. Your doctor knows exactly what to do."

Question 7

A 6-year-old child with daytime enuresis complains of dysuria and urgency; the nurse recognizes these as signs and symptoms of:

Accepted Answer

A)  urinary tract infection. 
B)  nephrotic syndrome. 
C)  acute glomerulonephritis. 
D)  vesicoureteral reflux.

Question 8

The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:

Accepted Answer

A)  milk. 
B)  grape juice. 
C)  apple juice. 
D)  orange juice.

Question 9

The nurse is aware that genitourinary surgery is especially stressful for preschool children because of what factor(s)? Select all that apply.

Accepted Answer

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 are embarrassed by having their genitals exposed.
F) None of the above

Exam 29: The Child with a Genitourinary Condition