a 30 month old girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a low grade fever. a dipstick urinalysis is negative for leukocyte esterase and nitrites. what is the next step? - Answer-send the urine to the lab for culture
the clean catch urine specimen of a ch...
Burns 41 Genitourinary Exam Questions
and Answers
a 30 month old girl who has been toilet trained for 6 months has daytime enuresis and
dysuria and a low grade fever. a dipstick urinalysis is negative for leukocyte esterase
and nitrites. what is the next step? - Answer-send the urine to the lab for culture
the clean catch urine specimen of a child with dysuria, frequency, and fever has a
colony count between 50 and 100, 000 of ecoli. what is the treatment? - Answer-treat
with antibiotics for urinary tract infection
a dipstick urinalysis is positive for leukocyte esterase and nitrites in a school age child
with dysuria and foul smelling urine but no fever who has not had previous uti. a culture
is pending. what will the PNP do to treat? - Answer-prescribe TMP twice daily for 3-5
days
a preschool aged child with no previous history has mild flank pain and fever but no
fever but no abdominal pain or vomiting. a urinalysis is positive for leukocyte esterase
and nitrites. a culture is pending. which is the correct course of treatment for this child? -
Answer-order amoxicillin clavulanate
a 3 year old child has just completed a 7 day course of amoxicillin for a second febrile
uti and currently has a negative urine culture. what is the next course of action? -
Answer-obtain a renal and bladder ultrasound
the parent of a toddler diagnosed with grade v vesicoureteral reflux asks the pnp how
the disease will be treated. what will the PNP tell this patient? - Answer-surgery will
need to be done
a healthy 14 year old female has a dipstick urinalysis that is positive for 5-6 RBCs per
hpf but otherwise normal. what is the first question the primary care pediatric nurse
practitioner will ask this patient? - Answer-when was your last menstrual period
a child has gross hematuria abdominal pain and arthralgia as well as a rash. what
diagnosis is most likely? - Answer-henoch-schonlein purpura
an adolescent has 2+ proteinuria in a random dipstick urinalysis. a subsequent first
morning voiding specimen is negative. what will the PNP do to manage this condition? -
Answer-monitor for proteinuria at each well child examination
a child is diagnosed with nephrotic syndrome and the PNP provides primary care in
consultation with a pediatric nephrologist. the child was treated with steroids and
responded well to this treatment. What will the NP tell the childs parents? - Answer-
steroids will be used when relapses occur
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