The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The
nurse suspects the cause as Candida albicans based on what finding?
a. Thin gray vaginal discharge with fishy odor
b. Irritation of labia and vaginal opening
c. Foul yellow-gray discharge
d. White cottage cheese-like discharge d. White cottage cheese-like
discharge
(Rationale: White cottage cheese-like discharge indicates C. albicans. Thin
gray discharge with a fishy odor points to Bordetella or Gardnerella. Irritation
of the labia and vaginal opening is commonly found with poor hygiene. Foul
yellow-gray discharge indicates Trichomonas vaginalis.)
The nurse is providing discharge teaching to an adolescent who has been
treated for pelvic inflammatory disease (PID). Which of the following would
the nurse include as a preventative measure?
a. Using oral contraceptives as prescribed
b. Using a vaginal douche routinely
c. Insisting that sexual partners use condoms
d. Suggesting that sexual partners use antibiotic ointment c. Insisting that
sexual partners use condoms
(Rationale: PID is a sexually transmitted infection; use of condoms prevents
PID. Oral contraceptives prevent pregnancy, not PID. Using a vaginal douche
routinely leads to bacterial overgrowth and increases the risk for PID. Sexual
partners should also receive treatment with antibiotics.)
The nurse is assessing a child diagnosed with nephritic syndrome and
observes generalized edema. The nurse documents this as which of the
following?
a. Enuresis
b. Phimosis
c. Hydronephrosis
d. Anasarca d. Anasarca
(Rationale: Anasarca refers to generalized edema. Enuresis refers to
continued incontinence of urine past the age of toilet training. Phimosis
refers to a condition in which the foreskin of the penis cannot be retracted.
Hydronephrosis refers to a condition in which the pelvis and calyces of the
kidney are dilated.)
The nurse is taking a health history of a 12-year-old boy presenting with
scrotal pain. Which assessment finding would indicate testicular torsion?
a. Sudden onset of severe scrotal pain with significant hemorrhagic swelling
b. Enlarged inguinal glands and fever
This study source was downloaded by 100000838401522 from CourseHero.com on 04-28-2022 05:07:34 GMT -05:00
https://www.coursehero.com/file/59885879/Nursing-Care-of-the-Child-With-a-Genitourinary-Disorderdocx/
, c. Fever, scrotal swelling, and urethral discharge
d. Hardened and tender epididymis with edema and erythema of scrotum
a. Sudden onset of severe scrotal pain with significant hemorrhagic
swelling
(Rationale: Testicular torsion is characterized by a testicle that is abnormally
attached to the scrotum and twisted. Signs and symptoms include sudden
onset of severe scrotal pain with significant hemorrhagic swelling. Enlarged
glands and fever point to infection. Fever and urethral discharge suggest
infection. Scrotal swelling is associated with testicular torsion, epididymitis,
and hydrocele. A hardened and tender epididymis points to epididymitis.)
The nurse is educating the parents of an infant after a circumcision. The
parents demonstrate understanding when they state that they need to report
which of the following to the physician?
a. The infant does not urinate within 6 to 8 hours
b. Appearance of granulation tissue
c. Small spots of blood on diaper
d. Bleeding that stops without pressure a. The infant does not urinate
within 6 to 8 hours
(Rationale: The parents should immediately notify the physician or nurse
practitioner if the infant does not urinate within 6 to 8 hours after the
procedure. Small spots of blood on the diaper, bleeding that stops without
pressure, and granulation tissue are normal findings.)
A nurse is assessing an adolescent who comes to the clinic for a follow-up.
During the history, the adolescent tells the nurse that she often experiences
pain with her menstrual periods. When gathering additional information,
which question would be the most appropriate for the nurse to ask?
a. "How heavy is your menstrual flow?"
b. "Have you ever been pregnant?"
c. "Do you have any nausea or vomiting when you have the pain?"
d. "Do you have any discharge with a strange odor?" c. "Do you have any
nausea or vomiting when you have the pain?"
(Rationale: Nausea, vomiting, dizziness, or loose stools are symptoms that
commonly are associated with pain with menstruation [dysmenorrhea].
Although obtaining information about the amount of the adolescent's
menstrual flow is important, it is unrelated to the adolescent's complaint.
The adolescent is describing menstrual cramps; these are unrelated to
pregnancy. A malodorous discharge suggests an infection.)
The nurse is caring for a 10-year-old boy with end-stage renal disease (ESRD)
with metabolic acidosis. Which of the following would the nurse expect to
administer if ordered?
This study source was downloaded by 100000838401522 from CourseHero.com on 04-28-2022 05:07:34 GMT -05:00
https://www.coursehero.com/file/59885879/Nursing-Care-of-the-Child-With-a-Genitourinary-Disorderdocx/
nurse suspects the cause as Candida albicans based on what finding?
a. Thin gray vaginal discharge with fishy odor
b. Irritation of labia and vaginal opening
c. Foul yellow-gray discharge
d. White cottage cheese-like discharge d. White cottage cheese-like
discharge
(Rationale: White cottage cheese-like discharge indicates C. albicans. Thin
gray discharge with a fishy odor points to Bordetella or Gardnerella. Irritation
of the labia and vaginal opening is commonly found with poor hygiene. Foul
yellow-gray discharge indicates Trichomonas vaginalis.)
The nurse is providing discharge teaching to an adolescent who has been
treated for pelvic inflammatory disease (PID). Which of the following would
the nurse include as a preventative measure?
a. Using oral contraceptives as prescribed
b. Using a vaginal douche routinely
c. Insisting that sexual partners use condoms
d. Suggesting that sexual partners use antibiotic ointment c. Insisting that
sexual partners use condoms
(Rationale: PID is a sexually transmitted infection; use of condoms prevents
PID. Oral contraceptives prevent pregnancy, not PID. Using a vaginal douche
routinely leads to bacterial overgrowth and increases the risk for PID. Sexual
partners should also receive treatment with antibiotics.)
The nurse is assessing a child diagnosed with nephritic syndrome and
observes generalized edema. The nurse documents this as which of the
following?
a. Enuresis
b. Phimosis
c. Hydronephrosis
d. Anasarca d. Anasarca
(Rationale: Anasarca refers to generalized edema. Enuresis refers to
continued incontinence of urine past the age of toilet training. Phimosis
refers to a condition in which the foreskin of the penis cannot be retracted.
Hydronephrosis refers to a condition in which the pelvis and calyces of the
kidney are dilated.)
The nurse is taking a health history of a 12-year-old boy presenting with
scrotal pain. Which assessment finding would indicate testicular torsion?
a. Sudden onset of severe scrotal pain with significant hemorrhagic swelling
b. Enlarged inguinal glands and fever
This study source was downloaded by 100000838401522 from CourseHero.com on 04-28-2022 05:07:34 GMT -05:00
https://www.coursehero.com/file/59885879/Nursing-Care-of-the-Child-With-a-Genitourinary-Disorderdocx/
, c. Fever, scrotal swelling, and urethral discharge
d. Hardened and tender epididymis with edema and erythema of scrotum
a. Sudden onset of severe scrotal pain with significant hemorrhagic
swelling
(Rationale: Testicular torsion is characterized by a testicle that is abnormally
attached to the scrotum and twisted. Signs and symptoms include sudden
onset of severe scrotal pain with significant hemorrhagic swelling. Enlarged
glands and fever point to infection. Fever and urethral discharge suggest
infection. Scrotal swelling is associated with testicular torsion, epididymitis,
and hydrocele. A hardened and tender epididymis points to epididymitis.)
The nurse is educating the parents of an infant after a circumcision. The
parents demonstrate understanding when they state that they need to report
which of the following to the physician?
a. The infant does not urinate within 6 to 8 hours
b. Appearance of granulation tissue
c. Small spots of blood on diaper
d. Bleeding that stops without pressure a. The infant does not urinate
within 6 to 8 hours
(Rationale: The parents should immediately notify the physician or nurse
practitioner if the infant does not urinate within 6 to 8 hours after the
procedure. Small spots of blood on the diaper, bleeding that stops without
pressure, and granulation tissue are normal findings.)
A nurse is assessing an adolescent who comes to the clinic for a follow-up.
During the history, the adolescent tells the nurse that she often experiences
pain with her menstrual periods. When gathering additional information,
which question would be the most appropriate for the nurse to ask?
a. "How heavy is your menstrual flow?"
b. "Have you ever been pregnant?"
c. "Do you have any nausea or vomiting when you have the pain?"
d. "Do you have any discharge with a strange odor?" c. "Do you have any
nausea or vomiting when you have the pain?"
(Rationale: Nausea, vomiting, dizziness, or loose stools are symptoms that
commonly are associated with pain with menstruation [dysmenorrhea].
Although obtaining information about the amount of the adolescent's
menstrual flow is important, it is unrelated to the adolescent's complaint.
The adolescent is describing menstrual cramps; these are unrelated to
pregnancy. A malodorous discharge suggests an infection.)
The nurse is caring for a 10-year-old boy with end-stage renal disease (ESRD)
with metabolic acidosis. Which of the following would the nurse expect to
administer if ordered?
This study source was downloaded by 100000838401522 from CourseHero.com on 04-28-2022 05:07:34 GMT -05:00
https://www.coursehero.com/file/59885879/Nursing-Care-of-the-Child-With-a-Genitourinary-Disorderdocx/
