NUR 122 - Test 3 Questions And 100% Correct Answers
What are children <2 years old less efficient at (GU)?
-Electrolyte balance
-Acid/base balance
-Concentrating urine
-Excretion of drugs
What are the clinical manifestations of pyloric stenosis? (6)
-Emesis to projectile vomiting
-Non bilius vomit
-Palpable olive-sized mass in RUQ
-Visible peristaltic waves
-Hyperactive bowel sounds
-Dehydration
-Electrolyte imbalances-Non bilius vomit
What is the rule of many oz a child's bladder can hold?
Age + 2
,(i.e. 4 years old = 6oz bladder capacity)
What is a child <2 more at risk for r/t their GU system?
Dehydration
What allergies do you want to assess for when someone is getting IV contrast?
-Shellfish
-Iodine
What are some GU labs?
-BUN
-GFR
-Creatinine clearance
-Urine collection
-UA
-Urine culture
What is normal urine output for an infant and kids 1-5 years old?
1.5-2 mL/kg/h
What is normal urine output for older children ages 6-12 years old?
1-2 mL/kg/h
What is normal urine output for adolescents >12 years old?
,0.5-1 mL/kg/h
What is the MINIMUM urine output for an infant?
1 mL/kg/h
What is the MINIMUM urine output for children (1-12 years old)?
1 mL/kg/h
What is the MINIMUM urine output for an adolescent (>12 years old)?
0.5 mL/kg/h
What is hypospadias?
Opening of the urethra on the inferior surface of the penis
What is epispadias?
Opening of the urethra on the superior surface of the penis
How are hypospadius and epispadius diagnosed?
-Prenatal Ultrasound
-Assessment
How are hypospadius and epispadius treated?
Surgery
, What is chordee?
Bowing of the penis
Underdecended testes
Partial absence of foreskin
What is a complication of hypospadius and epispadius?
Reproduction interference
What is a postsurgical nursing intervention for hypospadius and epispadius?
Double diapering
What is the advantage of double diapering?
Keep the urethral stent in place
What would you instruct the parents of a patient who had a urethral stent placed?
No straddle toys
Careful of how you pick child up
What may be necessary for an infant with a urethral stent?
Restraints (frequent skin check)
Sponge bath
Is it normal to have some blood in the urine after a hypospadius/epispadius surgery?
Yes
What is oxybutynin (Ditropan) used for?
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