MATH MATH302 Ch 21 PrepU /American Public University

Ch 21 PrepU
Question 1 See full question

The nurse is working with a child with altered genitourinary status. Which
intervention would be included in the plan of care with excess fluid volume?
You Selected:

•
Measure the amount of nitrates present in the urine.

Correct response:

•
Weigh the child twice a day on the same scale.

Explanation:
Reference:
•
Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 21: Nursing Care of the
Child With an Alteration in Urinary Elimination/Genitourinary Disorder,
p. 779.
Chapter 21: Nursing Care of the Child With an Alteration in Urinary
Elimination/Genitourinary Disorder - Page 779
Question 2 See full question

A school nurse is trying to prevent poststreptococcal glomerulonephritis in
children. What would be the best way to prevent this?
You Selected:

•
Prophylactic antibiotics after strep throat are important.

Correct response:

•
Encourage the child to take all the antibiotics if diagnosed with strep
throat.

Explanation:
Reference:
•
Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 21: Nursing Care of the
Child With an Alteration in Urinary Elimination/Genitourinary Disorder,
p. 780.
Chapter 21: Nursing Care of the Child With an Alteration in Urinary
Elimination/Genitourinary Disorder - Page 780
Question 3 See full question

In caring for a child with a urinary tract infection, the nurse would do all of the
following nursing interventions. Which two interventions would be the priority

, Ch 21 PrepU
for the nurse?

, Ch 21 PrepU
You Selected:

•
Observe for possible indications of sexual abuse.
•
Record and report any indications of urinary burning, frequency, or
urgency.
•
Teach girls to wipe from front to back.

Correct response:

•
Collect a "clean catch" voided urine.
•
Observe the child for signs of any reactions to the antibiotics.

Explanation:
Reference:
•
Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 21: Nursing Care of the
Child With an Alteration in Urinary Elimination/Genitourinary Disorder,
p. 766.
Chapter 21: Nursing Care of the Child With an Alteration in Urinary
Elimination/Genitourinary Disorder - Page 766
Question 4 See full question

An adolescent girl and her caregiver present at the pediatrician's office. The
adolescent reports severe abdominal pain. A diagnosis of pelvic
inflammatory disease (PID) is made. The nurse notes in the child's chart that
this is the third time she has been treated for PID. The most appropriate
action by the nurse would be to:
You Selected:

•
talk to the child and caregiver together and explain that the
condition is often a result of a sexually transmitted disease and
discuss the importance of safe sex practices.

Correct response:

•
take the child to a private room and interview her regarding her
sexual history and partners.

Explanation:
Reference:
•
Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 21: Nursing Care of the
Child With an Alteration in Urinary Elimination/Genitourinary Disorder,

, Ch 21 PrepU
p. 788.