N138 CHP 26 GU QUIZ WITH
COMPLETE SOLUTIONS
The nurse is preparing a 3-year-old child for the examination of the urethra and
taking a urine sample. What strategy should the nurse use while preparing the
child?
1
Demonstrate and explain the procedure on a doll.
2
Explain the urinary system and procedure to the child.
3
Show pictures of the urinary system and the procedure.
4
Ask the parents to explain the procedure to the child. - ANSWER 1
A 3-year-old child is too young to understand the procedure of examining the
urinary system. The nurse should explain the procedure by demonstrating it on a
doll. This should be done to eliminate fear in the child's mind before the
examination. The child will not be able to understand the anatomy of the urinary
system; thus, the nurse should not give a verbal explanation or show pictures of
the urinary system. It is the nurse's responsibility to prepare the child for the
examination. The nurse should not ask the parents to explain about the
examination and the process of procuring the urine sample to the child.
What is the most common of the postinfectious renal diseases in childhood?
1
Obstructive neuropathy
2
Nephrotic syndrome
3
Acute glomerulonephritis
4
Hemolytic uremic syndrome - ANSWER 3
Acute glomerulonephritis is the most common postinfectious renal disease in
childhood and the one for which a cause can be established in most cases.
Wilms tumor is a common malignant renal and intraabdominal tumor of
childhood. Nephrotic syndrome is a clinical state that includes massive
proteinuria, hypoalbuminemia, hyperlipidemia, and edema. Hemolytic uremic
syndrome is uncommon acute renal disease.
, The nurse is educating an adolescent female about proper hygiene and
necessary care to prevent urinary tract infections. What should the nurse
include in the teaching plan?
1
The importance of urinating two times a day
2
The importance of limiting water intake to 5 ounces a day
3
The importance of wearing nylon underwear instead of cotton
4
The importance of wiping the perineum from the front to the back - ANSWER 4
The adolescent should clean the perineum in a front-to-back direction, because
back-to-front will increase the risk of infection. Holding urine in the bladder and
voiding only twice a day will increase the risk of urinary tract infections; the
patient should void whenever the bladder gets full. Proper hygiene and
hydration help to prevent the risk of urinary tract infections. The nurse should
instruct the patient to drink as much water as possible. The patient should avoid
tight clothing, and wear cotton panties rather than nylon.
A child presents to the pediatric office with incontinence and strong-smelling
urine. For what condition should the child be evaluated?
1
Sexual abuse
2
Nephritic syndrome
3
Urinary tract infection
4
Structural defect of the urinary tract - ANSWER 3
A child who exhibits clinical symptoms of incontinence and strong-smelling urine
should be evaluated for a urinary tract infection. Incontinence and strong-
smelling urine are not associated with sexual abuse, nephritic syndrome, or
structural defects of the urinary tract.
The intravenous pyelogram results of the patient indicate a urinary obstruction.
Which treatment will be beneficial for the patient?
1
Orchiopexy
2
Circumcision
3
Nephrostomy
4
Renal transplantation - ANSWER 3
A nephrostomy is an artificial opening created between the kidney and the skin.
The tube passes through the flank into the pelvis of the kidney, which allows for
COMPLETE SOLUTIONS
The nurse is preparing a 3-year-old child for the examination of the urethra and
taking a urine sample. What strategy should the nurse use while preparing the
child?
1
Demonstrate and explain the procedure on a doll.
2
Explain the urinary system and procedure to the child.
3
Show pictures of the urinary system and the procedure.
4
Ask the parents to explain the procedure to the child. - ANSWER 1
A 3-year-old child is too young to understand the procedure of examining the
urinary system. The nurse should explain the procedure by demonstrating it on a
doll. This should be done to eliminate fear in the child's mind before the
examination. The child will not be able to understand the anatomy of the urinary
system; thus, the nurse should not give a verbal explanation or show pictures of
the urinary system. It is the nurse's responsibility to prepare the child for the
examination. The nurse should not ask the parents to explain about the
examination and the process of procuring the urine sample to the child.
What is the most common of the postinfectious renal diseases in childhood?
1
Obstructive neuropathy
2
Nephrotic syndrome
3
Acute glomerulonephritis
4
Hemolytic uremic syndrome - ANSWER 3
Acute glomerulonephritis is the most common postinfectious renal disease in
childhood and the one for which a cause can be established in most cases.
Wilms tumor is a common malignant renal and intraabdominal tumor of
childhood. Nephrotic syndrome is a clinical state that includes massive
proteinuria, hypoalbuminemia, hyperlipidemia, and edema. Hemolytic uremic
syndrome is uncommon acute renal disease.
, The nurse is educating an adolescent female about proper hygiene and
necessary care to prevent urinary tract infections. What should the nurse
include in the teaching plan?
1
The importance of urinating two times a day
2
The importance of limiting water intake to 5 ounces a day
3
The importance of wearing nylon underwear instead of cotton
4
The importance of wiping the perineum from the front to the back - ANSWER 4
The adolescent should clean the perineum in a front-to-back direction, because
back-to-front will increase the risk of infection. Holding urine in the bladder and
voiding only twice a day will increase the risk of urinary tract infections; the
patient should void whenever the bladder gets full. Proper hygiene and
hydration help to prevent the risk of urinary tract infections. The nurse should
instruct the patient to drink as much water as possible. The patient should avoid
tight clothing, and wear cotton panties rather than nylon.
A child presents to the pediatric office with incontinence and strong-smelling
urine. For what condition should the child be evaluated?
1
Sexual abuse
2
Nephritic syndrome
3
Urinary tract infection
4
Structural defect of the urinary tract - ANSWER 3
A child who exhibits clinical symptoms of incontinence and strong-smelling urine
should be evaluated for a urinary tract infection. Incontinence and strong-
smelling urine are not associated with sexual abuse, nephritic syndrome, or
structural defects of the urinary tract.
The intravenous pyelogram results of the patient indicate a urinary obstruction.
Which treatment will be beneficial for the patient?
1
Orchiopexy
2
Circumcision
3
Nephrostomy
4
Renal transplantation - ANSWER 3
A nephrostomy is an artificial opening created between the kidney and the skin.
The tube passes through the flank into the pelvis of the kidney, which allows for
