Exam (elaborations)
Genitourinary system MCQs
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Genitourinary system MCQs
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MSC: Area of Client Needs: Health Promotion and MaintenanceSHORT ANSWER
1. A child has an NG tube to continuous low intermittent suction. The physicians
prescription is to replace the previous 4-hour NG output with a normal saline piggyback
over a 2-hour period. The NG output for the previous 4 hours totaled 50 ml. What
milliliter/hour rate should the nurse administer to replace normal saline piggyback?
(Record your answer in a whole number.)
ANS:
25
The previous total 4-hour output was 50 ml. To run the 50 ml over a 2-hour period, the
nurse would divide 50 by 2 = 25. The normal saline replacement fluid would be run at 25
ml per hour.
CHAPTER 21 Nursing Care of the Child With an Alteration in Urinary Elimination/
Genitourinary Disorder
MULTIPLE CHOICE
a
1. The nurse is conducting a staff in-service on renal ultrasounds. Which statement
describes this diagnostic test?
h
a. Computed tomography uses external radiation to visualize the renal system.
b. Visualization of the renal system is accomplished without exposure to radiation or
radioactive isotopes.
a
T
c. Contrast medium and x-rays allow for visualization of the renal system.
d. External radiation for x-ray films is used to visualize the renal system, before, during,
and after voiding.
ANS: A
b
A renal ultrasound transmits ultrasonic waves through the renal parenchyma allowing for
e
visualization of the renal system without exposure to external beam radiation or
e
radioactive isotopes. Computed tomography uses external radiation and sometimes
contrast media to visualize the renal system. An intravenous pyelogram uses contrast
a b
medium and external radiation for x-ray films. The voiding cystourethrogram visualizes
the renal system with injection of a contrast media into the bladder through the urethral
opening and use of x-ray before, during, and after voiding.
PTS: 1 DIF: Cognitive Level: Understand REF: 908
H
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
2. The nurse is admitting a school-age child in acute renal failure with reduced
glomerular filtration rate. Which urine test is the most useful clinical indication of
glomerular filtration rate?
a. pH
b. Osmolality
c. Creatinine
d. Protein level
ANS: C
The most useful clinical indication of glomerular filtration is the clearance of creatinine.
It is a substance that is freely filtered by the glomerulus and secreted by the renal tubule
cells. The pH and osmolality are not estimates of glomerular filtration. Although protein
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, in the urine demonstrates abnormal glomerular permeability, it is not a measure of
filtration rate.
PTS: 1 DIF: Cognitive Level: Understand REF: 904
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
3. The nurse is conducting an assessment on a school-age child with urosepsis. Which
assessment finding should the nurse expect?
a. Fever with a positive blood culture
b. Proteinuria and edema
c. Oliguria and hypertension
d. Anemia and thrombocytopenia
ANS: A
Symptoms of urosepsis include a febrile UTI coexisting with systemic signs of bacterial
illness; blood culture reveals presence of urinary pathogen. Proteinuria and edema are
symptoms of minimal change nephrotic syndrome (MCNS). Oliguria and hypertension
a
are symptoms of acute glomerulonephritis (AGN). Anemia and thrombocytopenia are
symptoms of hemolytic uremic syndrome (HUS).
PTS: 1 DIF: Cognitive Level: Analyze REF: 906
TOP: Integrated Process: Nursing Process: Assessment
ah
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
T
4. The nurse is teaching parents about prevention of urinary tract infections in children.
Which factor predisposes the urinary tract to infection?
a. Increased fluid intake
b. Short urethra in young girls
c. Prostatic secretions in males
e
d. Frequent emptying of the bladder
b
e
ANS: B
The short urethra in females provides a ready pathway for invasion of organisms.
a b
Increased fluid intake and frequent emptying of the bladder offer protective measures
against urinary tract infections. Prostatic secretions have antibacterial properties that
inhibit bacteria.
PTS: 1 DIF: Cognitive Level: Understand REF: 908
H
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
5. Which should the nurse recommend to prevent urinary tract infections in young girls?
a. Wear cotton underpants.
b. Limit bathing as much as possible.
c. Increase fluids; decrease salt intake.
d. Cleanse perineum with water after voiding.
ANS: A
Cotton underpants are preferable to nylon underpants. No evidence exists that limiting
bathing, increasing fluids/decreasing salt intake, or cleansing the perineum with water
after voiding decrease urinary tract infections in young girls.
PTS: 1 DIF: Cognitive Level: Apply REF: 910
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
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