NUR 438 final peds QUIZ

expects to note which finding that is associated with this diagnosis? 1. Hypotension 2. Brown­colored urine 3. Low urinary specific gravity 4. Low blood urea nitrogen level 2. Brown­colored urine 2. The nurse performing an admission assessment on a 2­year­old child who has been diagnosed with nephrotic syndrome notes that which most common characteristic is associated with this syndrome? 1. Hypertension 2. Generalized edema 3. Increased urinary output 4. Frank, bright red blood in the urine 2. Generalized edema 3. The nurse is planning care for a child with hemolytic­uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure? 1. Restrict fluids as prescribed. 2. Care for the arteriovenous fistula. 3. Encourage foods high in potassium. 4. Administer analgesics as prescribed. 1. Restrict fluids as prescribed. 4. A 7­year­old child is seen in a clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. The nurse should provide which information to the parents? 1. Primary nocturnal enuresis does not respond to treatment. 2. Primary nocturnal enuresis is caused by a psychiatric problem. 3. Primary nocturnal enuresis requires surgical intervention to improve the problem. 4. Most children outgrow the bed­wetting problem without therapeutic intervention. 4. Most children outgrow the bed­wetting problem without therapeutic intervention. 5. The nurse provided discharge instructions to the parents of a 2­year­old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate that further teaching is necessary? 1. "I'll check his temperature." 2. "I'll give him medication so he'll be comfortable." 3. "I'll check his voiding to be sure there's no problem." 4. "I'll let him decide when to return to his play activities." 4. "I'll let him decide when to return to his play activities." 6. The nurse is reviewing a treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan? 1. "Caution should be used when straddling the infant on a hip." 2. "Vital signs should be taken daily to check for bladder infection." 3. "Catheterization will be necessary when the infant does not void." 4. "Circumcision has been delayed to save tissue for surgical repair." 4. "Circumcision has been delayed to save tissue for surgical repair." 7. The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1. Cover the bladder with petroleum jelly gauze. 2. Cover the bladder with a nonadhering plastic wrap. 3. Apply sterile distilled water dressings over the bladder mucosa. 4. Keep the bladder tissue dry by covering it with dry sterile gauze. 2. Cover the bladder with a nonadhering plastic wrap. 8. The nurse understands that which information collected during the assessment of a child recently diagnosed with glomerulonephritis is most often associated with the diagnosis? 1. Child fell off a bike onto the handlebars 2. Nausea and vomiting for the last 24 hours 3. Urticaria and itching for 1 week before diagnosis 4. Streptococcal throat infection 2 weeks before diagnosis 4. Streptococcal throat infection 2 weeks before diagnosis 9. The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. When analyzing the results of the urinalysis, which should the nurse most likely expect to note? 1. Hematuria 2. Proteinuria 3. Bacteriuria 4. Glucosuria 3. Bacteriuria 10. The nurse is performing an assessment on a child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which assessment findings should the nurse expect to observe? Select all that apply. 1. Pallor 2. Edema 3. Anorexia 4. Proteinuria 5. Weight loss 6. Decreased serum lipids o 1. Pallor o 2. Edema o 3. Anorexia o 4. Proteinuria 11. The nurse is developing a plan of care for a 6­year­old child diagnosed with acute glomerulonephritis. The nurse should include which priority intervention in the plan of care? 1. Encourage limited activity and provide safety measures. 2. Catheterize the child to monitor intake and output strictly. 3. Encourage the child to talk about feelings related to illness. 4. Encourage classmates to visit and to keep the child informed of school events. 1. Encourage limited activity and provide safety measures. 12. Which is a priority problem for a child with severe edema caused from nephrotic syndrome? 1. Risk for constipation 2. Risk for skin breakdown 3. Inability to regulate body temperature 4. Consumption of more calories or nutrients than the body requires 2. Risk for skin breakdown 13. After performing an assessment of an infant with bladder exstrophy, a nurse prepares a plan of care. The nurse identifies which problem as the priority for the infant? 1. Urinary incontinence 2. Impaired tissue integrity 3. Inability to suck and swallow 4. Lack of knowledge about the disease (parents) 2. Impaired tissue integrity 14. The nurse is caring for an infant with cryptorchidism. The nurse anticipates that the most likely diagnostic study to be prescribed would be the one that assesses which item? 1. Babinski reflex 2. DNA synthesis 3. Urinary function 4. Chromosomal analysis 3. Urinary func