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POWERPOINT: GU peds Questions and Answers Graded A+
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POWERPOINT: GU peds Questions andAnswers Graded A+
_____________ may occurs in pts with hydronephrosis because the nephrons ability to
secrete hydrogen ions is impaired - ANSWER-metabolic acidosis
11) Which assessment finding would necessitate action by the nurse for a 10-month-old
child who is 4 hours postoperative for the placement of a urethral stent?
1. Bloody urine
2. One void since returning from surgery
3. Bladder spasms responding to pharmacologic intervention
4. Double diapering from the previous shift - ANSWER-Answer: 2
Explanation:
1. Bloody urine is expected in the immediate postoperative period.
2. A 10-month-old child will void more often than 1 time in 4 hours. This could indicate
the stent is occluded. The surgeon should be notified.
3. This is a normal finding.
4. This is a desired finding and does not need to be reported to the surgeon.
lecture question found in main TB ch. 52 #11
https://quizlet.com/288716229/pediatrics-51-52-gi-gu-flash-cards/
12-year-old Caroline has recurring nephrotic syndrome; which of the following areas of
potential disturbances should be a prime consideration when planning ongoing nursing
care?
a. body image
b. sexual maturation
c. muscle coordination
d. intellectual development - ANSWER-a. body image
4 main clinical findings of renal failure that are related to its inability to excrete wastes or
concentrate urine - ANSWER-Azotemia -nitrogen compounds in the blood
Oliguria -scant urine
Anuria -no urine
Uremia -urea in blood
5 test - ANSWER-VCUG: inject fluid up into bladder w/ contrast medium
US: polynephritits, hydronephritis, kidney stones, flank pain
DIP: proteinuria, hematuria
,Labs: BUN, H&H
IVP: x-ray w/ contrast. finds structural abnormalities
a child contracts strep throat and then develops signs of APIGN after ______________
(how long after?) - ANSWER-2-3 weeks (10-21 days)
a child has renal insufficiency and he is currently sick with an acute gastrointestinal
illness is at greater risk for ____________ - ANSWER-FLUID LOSS/ DEHYDRATION
a fluid-filled mass in the testes - ANSWER-Hydrocele
(Most hydroceles resolve spontaneously by reabsorption by 1 year of age)
abnormal folds of mucosa in the male urethra
and are a significant cause of end-stage renal disease in children - ANSWER-posterior
urethral valves (PUVs)
ACE inhibitors - ANSWER-dont take if hyperkalemia?
Acute Renal failure (summary) - ANSWER-* Causes - assault to renal system
* s/s -dark urine, hematuria, edema, headache, htn, crackles
* Hypocalcemia -calcium (muscle involvement)
* Hyponatremia - sodium (CNS function)
* Hyperkalemia - protein (cardiac/muscle)
* Outcomes - depends on the assault -treat underlying cause!
* Nursing Care?
acute vs. chronic Renal failure - ANSWER-*Acute - injury or assault: AGN, sepsis,
poisoning, meds. is reversible so tx underlying conditions to prevent chronic
*Chronic - progressive decline
hypovolemia
AGN culprit - ANSWER-Group A beta strep
(The incidence of acute postinfectious glomerulonephritis (APIGN) is highest in children
between 2 and 6 years of age, and the disorder is more common in boys than in girls)
Alaric was diagnosed with minimal-change nephrotic syndrome; which of the following
signs and symptoms are characteristics of the said disorder?
a. HTN, edema, hematuria
b. HTN, edema, proteinuria
c. gross hematuria, fever, proteinuria
, d. poor appetite, edema, proteinuria - ANSWER-d. poor appetite, edema, proteinuria
Option D: Clinical manifestations of nephrotic syndrome include loss of appetite due to
edema of intestinal mucosa, proteinuria, and edema. Options A, B: Hypertension alone
or accompanied by hematuria is associated with glomerulonephritis. Option C: Gross
hematuria is not associated with nephrotic syndrome. Fever will occur only if infection
also existed.
an infection starts as a local inflammatory response
then once it leaves the original site and there is two or more abnormal ranges (temp,
HH, RR, WBC)
it is considered ___________________ - ANSWER-SIRS (systemic inflammatory
response syndrome)
antihypertensives
-ace inhibitors end in:
-CCB end in: - ANSWER-prils (ACE)
Pines (CCB)
Bladder control - ANSWER-Potty training
around 2 years old
positive reinforcement
bribe are ok
CCBs - ANSWER-dont take if hyperkalemia?
characteristics in Nephrotic syndrome - ANSWER-frothy urine
PROTEINURIA
hyperlipidemia
edema
anorexia- malnutrition
some hematuria
slow onset
unrecognizable symptoms
Children and sepsis (3) - ANSWER-Triage Tools: to identify abnormal vital signs
Sepsis Screenings
EMR (electronic medical record): once its been documented
chronic Renal failure (summary) - ANSWER-* Causes - genetic, PKD, other assaults
* s/s - polyuria, anemia, metabolic disturbance, growth, bone stability, body shut down
* Uremic frost - urea crystals on skin
* Outcomes -dialysis or transplantation
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