Evolve - Ch. 45 (Genitourinary) Practice Test Questions and Correct Answers
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Module
GU Peds
Institution
GU Peds
The nurse should recognize which laboratory value as being abnormal? A. pH: 4 B. Specific gravity: 1.020 C. Protein level: absent D. Glucose level: absent A. pH: 4
The expected pH is 4.8 to 7.8. This is within the normal specific gravity range of 1.016 to 1.022. Protein should not be present in th...
Evolve - Ch. 45 (Genitourinary) Practice
Test Questions and Correct Answers
The nurse should recognize which laboratory value as being abnormal?
A. pH: 4
B. Specific gravity: 1.020
C. Protein level: absent
D. Glucose level: absent ✅A. pH: 4
The expected pH is 4.8 to 7.8. This is within the normal specific gravity range of 1.016
to 1.022. Protein should not be present in the urine. It would indicate an abnormality in
glomerular filtration. Glucose should not be present. If present, it could indicate diabetes
mellitus, glomerulonephritis, or a response to infusion of fluids with high glucose
concentrations
A young child is diagnosed with vesicoureteral reflux. The nurse should know that this
usually is associated with:
A. incontinence.
B. urinary obstruction.
C. recurrent kidney infections.
D. infarction of renal vessels. ✅C. recurrent kidney infections.
Incontinence may be associated with urinary tract infections. When reflux is associated
with vesicoureteral reflux, it can cause renal scarring but not obstruction. Reflux allows
urine to flow back to the kidneys. When the urine is infected, this contributes to kidney
infections. Infarction of renal vessels does not occur.
A 5-year-old female child has been sent to the school nurse for urinary incontinence 3
times in the past 2 days. The nurse should recommend to her parent that the FIRST
action is to have the child evaluated for:
A. school phobia.
B. emotional causes.
C. possible urinary tract infection.
D. possible structural defects of the urinary tract. ✅C. possible urinary tract infection.
A physical cause of the problem needs to be eliminated before a psychologic cause is
considered. A physical cause of the problem needs to be eliminated before a
psychologic cause is considered. Incontinence in a previously toilet trained child can be
an indication of a urinary tract infection. Structural defects would be explored after a
urinary tract infection is confirmed.
External defects of the genitourinary tract such as hypospadias are usually repaired as
early as possible to:
A. prevent urinary complications.
, B. prevent separation anxiety.
C. promote acceptance of hospitalization.
D. promote development of normal body image. ✅D. promote development of normal
body image.
Preventing urinary complications is important for defects that affect function, but all
external defects should be repaired as soon as possible. Proper preprocedure
preparation can facilitate coping with these issues. Proper preprocedure preparation
can facilitate coping with these issues. This is extremely important. Surgery involving
sexual organs can be very upsetting to children, especially preschoolers who fear
mutilation and castration.
Which laboratory finding, in conjunction with the presenting symptoms, indicates
nephrosis?
A. Hypoalbuminemia
B. Low specific gravity
C. Decreased hemoglobin
D. Decreased hematocrit ✅A. Hypoalbuminemia
Hypoalbuminemia is a result of the large amounts of protein that leak through the
glomerular membrane into urine. Specific gravity is increased because of the large
amount of protein. These measures would be elevated secondary to the hypovolemia.
These measures would be elevated secondary to the hypovolemia.
In a non-potty-trained child with nephrotic syndrome, the best way to detect fluid
retention is to:
A. weigh the child daily.
B. test the urine for hematuria.
C. measure the abdominal girth weekly.
D. count the number of wet diapers. ✅A. weigh the child daily.
Measuring weight at the same time each day is the most accurate way to determine
fluid gains and losses. The presence or absence of blood in the urine will not help with
the determination of fluid retention. Abdominal girth is reflective of edema, but weekly is
too infrequent a measure. The number of wet diapers reflects how often they have been
changed. The diapers should be weighed to reflect fluid balance.
What is an appropriate nursing intervention while the child with nephrotic syndrome is
confined to bed?
A. Restraining child as necessary
B. Discouraging parents from holding child
C. Doing passive range-of-motion exercises once a day
D. Adjusting activities to child's tolerance level ✅D. Adjusting activities to child's
tolerance level
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