Chapter 26 My Nursing Test Banks

Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 5th Edition Test Bank
Chapter 26

Question 1

Type: HOTSPOT

The nurse is performing a newborn assessment on a male infant with hypospadias. Select the picture that depicts the expected assessment finding.

Standard Text: Click on the correct area on the image.

Correct Answer:

Rationale : In hypospadias the urethral canal is open on the ventral surface of the penis. In epispadias the canal is open on the dorsal surface.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Discuss the nursing management of a child with a structural defect of the genitourinary system.

Question 2

Type: MCSA

A nurse is preparing to admit a child with possible obstructive uropathy. What labs should the nurse expect to draw on this child?

1. Platelet count.

2. Blood urea nitrogen (BUN) and creatinine.

3. Partial thromboplastin time (PTT).

4. Blood culture.

Correct Answer: 2

Rationale 1: The blood urea nitrogen (BUN) and creatinine are serum lab tests for kidney function. Obstructive uropathy is a structural or functional abnormality of the urinary system that interferes with urine flow and results in urine backflow into the kidneys; therefore, the BUN and creatinine will be elevated. Platelet count and partial thromboplastin time (PTT) are drawn when a bleeding disorder is suspected. A blood culture is done when an infectious process is suspected.

Rationale 2: The blood urea nitrogen (BUN) and creatinine are serum lab tests for kidney function. Obstructive uropathy is a structural or functional abnormality of the urinary system that interferes with urine flow and results in urine backflow into the kidneys; therefore, the BUN and creatinine will be elevated. Platelet count and partial thromboplastin time (PTT) are drawn when a bleeding disorder is suspected. A blood culture is done when an infectious process is suspected.

Rationale 3: The blood urea nitrogen (BUN) and creatinine are serum lab tests for kidney function. Obstructive uropathy is a structural or functional abnormality of the urinary system that interferes with urine flow and results in urine backflow into the kidneys; therefore, the BUN and creatinine will be elevated. Platelet count and partial thromboplastin time (PTT) are drawn when a bleeding disorder is suspected. A blood culture is done when an infectious process is suspected.

Rationale 4: The blood urea nitrogen (BUN) and creatinine are serum lab tests for kidney function. Obstructive uropathy is a structural or functional abnormality of the urinary system that interferes with urine flow and results in urine backflow into the kidneys; therefore, the BUN and creatinine will be elevated. Platelet count and partial thromboplastin time (PTT) are drawn when a bleeding disorder is suspected. A blood culture is done when an infectious process is suspected.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Discuss the nursing management of a child with a structural defect of the genitourinary system.

Question 3

Type: MCSA

Discharge instructions for care of a child who has just had an orchiopexy should include

1. Information to the parents about the childs resuming normal vigorous activities.

2. Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up.

3. Explanation to the parents about the need for loose, nonrestrictive clothing.

4. Reassurance to the parents that infertility is not a future risk.

Correct Answer: 3

Rationale 1: Orchiopexy is the surgical correction of cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include information about the need for loose, nonrestrictive clothing to avoid pressure on the postoperative site. The risk of testicular cancer is 35 to 50 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to two weeks following surgery to promote healing and prevent injury. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.

Rationale 2: Orchiopexy is the surgical correction of cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include information about the need for loose, nonrestrictive clothing to avoid pressure on the postoperative site. The risk of testicular cancer is 35 to 50 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to two weeks following surgery to promote healing and prevent injury. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.

Rationale 3: Orchiopexy is the surgical correction of cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include information about the need for loose, nonrestrictive clothing to avoid pressure on the postoperative site. The risk of testicular cancer is 35 to 50 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to two weeks following surgery to promote healing and prevent injury. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.

Rationale 4: Orchiopexy is the surgical correction of cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include information about the need for loose, nonrestrictive clothing to avoid pressure on the postoperative site. The risk of testicular cancer is 35 to 50 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to two weeks following surgery to promote healing and prevent injury. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Discuss the nursing management of a child with a structural defect of the genitourinary system.

Question 4

Type: MCSA

Which of the following symptoms is characteristic of a preschool child with a urinary tract infection?

1. Foul-smelling urine, elevated B/P, and hematuria.

2. Severe flank pain, nausea, headache.

3. Headache, hematuria, vertigo.

4. Urgency, dysuria, fever.

Correct Answer: 4

Rationale 1: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria. While hematuria may be present, there is no elevated B/P, headache, or vertigo.

Rationale 2: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria. While hematuria may be present, there is no elevated B/P, headache, or vertigo.

Rationale 3: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria. While hematuria may be present, there is no elevated B/P, headache, or vertigo.

Rationale 4: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age child include fever, urgency, and dysuria. While hematuria may be present, there is no elevated B/P, headache, or vertigo.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 03. Develop a nursing care plan for the child with a urinary tract infection.

Question 5

Type: MCSA

A child has been admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?

1. Hematuria, bacteriuria, weight gain.

2. Gross hematuria, albuminuria, fever.

3. Massive proteinuria, hypoalbuminemia, edema.

4. Hypertension, weight loss, proteinuria.

Correct Answer: 3

Rationale 1: Nephrotic syndrome is an alteration in kidney function secondary to increased glomerular basement membrane permeability to plasma protein. It is characterized by massive proteinuria, hypoalbuminemia, and edema. While hematuria and hypertension may be present, they are not pronounced. Gross hematuria and hypertension are associated with glomerulonephritis. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.

Rationale 2: Nephrotic syndrome is an alteration in kidney function secondary to increased glomerular basement membrane permeability to plasma protein. It is characterized by massive proteinuria, hypoalbuminemia, and edema. While hematuria and hypertension may be present, they are not pronounced. Gross hematuria and hypertension are associated with glomerulonephritis. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.

Rationale 3: Nephrotic syndrome is an alteration in kidney function secondary to increased glomerular basement membrane permeability to plasma protein. It is characterized by massive proteinuria, hypoalbuminemia, and edema. While hematuria and hypertension may be present, they are not pronounced. Gross hematuria and hypertension are associated with glomerulonephritis. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.

Rationale 4: Nephrotic syndrome is an alteration in kidney function secondary to increased glomerular basement membrane permeability to plasma protein. It is characterized by massive proteinuria, hypoalbuminemia, and edema. While hematuria and hypertension may be present, they are not pronounced. Gross hematuria and hypertension are associated with glomerulonephritis. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 04. Outline a plan to meet the fluid and dietary restrictions of a child with a renal disorder.

Question 6

Type: MCSA

A child with nephrotic syndrome is severely edematous. The primary health-care provider has placed the child on bed rest. An important nursing intervention for this child would be to

1. Reposition the child every two hours.

2. Monitor B/P every 30 minutes.

3. Encourage fluids.

4. Limit visitors.

Correct Answer: 1

Rationale 1: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.

Rationale 2: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.

Rationale 3: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.

Rationale 4: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 06. Plan nursing care for the child with acute and chronic renal failure.

Question 7

Type: MCSA

A child with nephrotic syndrome has been placed on prednisone for several weeks. An important point of teaching with the parents should include:

1. Never stop the medication suddenly.

2. This drug is taken once a week on Sunday.

3. The child should always take the medication at night before bed.

4. This drug should be taken with meals.

Correct Answer: 1

Rationale 1: Prednisone, a corticosteroid with anti-inflammatory action, is frequently used to treat nephrotic syndrome. It should never be stopped suddenly. The drug is taken more than once a week and can be taken any time during the day, but should remain on a constant schedule. Taking with food is always appropriate for most medications, but it does not have to be with a meal.

Rationale 2: Prednisone, a corticosteroid with anti-inflammatory action, is frequently used to treat nephrotic syndrome. It should never be stopped suddenly. The drug is taken more than once a week and can be taken any time during the day, but should remain on a constant schedule. Taking with food is always appropriate for most medications, but it does not have to be with a meal.

Rationale 3: Prednisone, a corticosteroid with anti-inflammatory action, is frequently used to treat nephrotic syndrome. It should never be stopped suddenly. The drug is taken more than once a week and can be taken any time during the day, but should remain on a constant schedule. Taking with food is always appropriate for most medications, but it does not have to be with a meal.

Rationale 4: Prednisone, a corticosteroid with anti-inflammatory action, is frequently used to treat nephrotic syndrome. It should never be stopped suddenly. The drug is taken more than once a week and can be taken any time during the day, but should remain on a constant schedule. Taking with food is always appropriate for most medications, but it does not have to be with a meal.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. Plan nursing care for the child with acute and chronic renal failure.

Question 8

Type: MCSA

A 4-year-old has acute glomerulonephritis and is admitted to the hospital. An appropriate nursing diagnosis for this child would be

1. Risk for Injury Related to Loss of Blood in Urine.

2. Fluid-Volume Excess Related to Decreased Plasma Filtration.

3. Risk for Infection Related to Hypertension.

4. Altered Growth and Development Related to a Chronic Disease.

Correct Answer: 2

Rationale 1: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.

Rationale 2: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.

Rationale 3: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.

Rationale 4: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 04. Outline a plan to meet the fluid and dietary restrictions of a child with a renal disorder.

Question 9

Type: MCSA

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and headache. Which of the following actions should be taken by the nurse?

1. Check the urine to see if hematuria has increased.

2. Obtain a B/P on the child; notify the physician.

3. Reassure the child, and encourage bed rest until the headache improves.

4. Obtain serum electrolytes, and send a urinalysis to the lab.

Correct Answer: 2

Rationale 1: Blurred vision and headache may be signs of encephalopathy, a complication of acute glomerulonephritis. A B/P should be obtained and the physician notified. The physician may decide to order an antihypertensive to bring down the B/P. This is a serious complication, and delay in treatment could mean lethargy and seizures. Therefore, the other options (checking urine for hematuria, encouraging bed rest, and obtaining serum electrolytes) do not directly address the potential problem of encephalopathy.

Rationale 2: Blurred vision and headache may be signs of encephalopathy, a complication of acute glomerulonephritis. A B/P should be obtained and the physician notified. The physician may decide to order an antihypertensive to bring down the B/P. This is a serious complication, and delay in treatment could mean lethargy and seizures. Therefore, the other options (checking urine for hematuria, encouraging bed rest, and obtaining serum electrolytes) do not directly address the potential problem of encephalopathy.

Rationale 3: Blurred vision and headache may be signs of encephalopathy, a complication of acute glomerulonephritis. A B/P should be obtained and the physician notified. The physician may decide to order an antihypertensive to bring down the B/P. This is a serious complication, and delay in treatment could mean lethargy and seizures. Therefore, the other options (checking urine for hematuria, encouraging bed rest, and obtaining serum electrolytes) do not directly address the potential problem of encephalopathy.

Rationale 4: Blurred vision and headache may be signs of encephalopathy, a complication of acute glomerulonephritis. A B/P should be obtained and the physician notified. The physician may decide to order an antihypertensive to bring down the B/P. This is a serious complication, and delay in treatment could mean lethargy and seizures. Therefore, the other options (checking urine for hematuria, encouraging bed rest, and obtaining serum electrolytes) do not directly address the potential problem of encephalopathy.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Outline a plan to meet the fluid and dietary restrictions of a child with a renal disorder.

Question 10

Type: MCSA

A child, in renal failure, has hyperkalemia. The nurse plans to instruct that the child should avoid the following foods:

1. Carrots and green, leafy vegetables.

2. Chips, cold cuts, and canned foods.

3. Spaghetti and meat sauce, breadsticks.

4. Hamburger on a bun, cherry gelatin.

Correct Answer: 1

Rationale 1: Carrots and green, leafy vegetables are high in potassium. Chips, cold cuts, and canned foods are high in sodium but not necessarily potassium. Spaghetti and meat sauce with breadsticks and a hamburger on a bun with cherry gelatin would be acceptable choices for a low-potassium diet.

Rationale 2: Carrots and green, leafy vegetables are high in potassium. Chips, cold cuts, and canned foods are high in sodium but not necessarily potassium. Spaghetti and meat sauce with breadsticks and a hamburger on a bun with cherry gelatin would be acceptable choices for a low-potassium diet.

Rationale 3: Carrots and green, leafy vegetables are high in potassium. Chips, cold cuts, and canned foods are high in sodium but not necessarily potassium. Spaghetti and meat sauce with breadsticks and a hamburger on a bun with cherry gelatin would be acceptable choices for a low-potassium diet.

Rationale 4: Carrots and green, leafy vegetables are high in potassium. Chips, cold cuts, and canned foods are high in sodium but not necessarily potassium. Spaghetti and meat sauce with breadsticks and a hamburger on a bun with cherry gelatin would be acceptable choices for a low-potassium diet.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 06. Plan nursing care for the child with acute and chronic renal failure.

Question 11

Type: MCSA

A child has undergone a kidney transplant and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to

1. Boost immunity.

2. Suppress rejection.

3. Decrease pain.

4. Improve circulation.

Correct Answer: 2

Rationale 1: Cyclosporine is given to suppress rejection. It doesnt boost immunity, decrease pain, or improve circulation.

Rationale 2: Cyclosporine is given to suppress rejection. It doesnt boost immunity, decrease pain, or improve circulation.

Rationale 3: Cyclosporine is given to suppress rejection. It doesnt boost immunity, decrease pain, or improve circulation.

Rationale 4: Cyclosporine is given to suppress rejection. It doesnt boost immunity, decrease pain, or improve circulation.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 05. Summarize psychosocial issues for the child requiring surgery on the genitourinary tract.

Question 12

Type: MCMA

A child is undergoing hemodialysis. The child should be monitored closely for

Standard Text: Select all that apply.

1. Shock.

2. Hypotension.

3. Infections.

4. Migraines.

5. Fluid overload.

Correct Answer: 1,2,3

Rationale 1: Rapid changes in fluid and electrolyte balance during hemodialysis may lead to shock and hypotension. Other complications to watch for are thromboses and infection. Migraines and fluid overload are not clinical manifestations associated with hemodialysis.

Rationale 2: Rapid changes in fluid and electrolyte balance during hemodialysis may lead to shock and hypotension. Other complications to watch for are thromboses and infection. Migraines and fluid overload are not clinical manifestations associated with hemodialysis.

Rationale 3: Rapid changes in fluid and electrolyte balance during hemodialysis may lead to shock and hypotension. Other complications to watch for are thromboses and infection. Migraines and fluid overload are not clinical manifestations associated with hemodialysis.

Rationale 4: Rapid changes in fluid and electrolyte balance during hemodialysis may lead to shock and hypotension. Other complications to watch for are thromboses and infection. Migraines and fluid overload are not clinical manifestations associated with hemodialysis.

Rationale 5: Rapid changes in fluid and electrolyte balance during hemodialysis may lead to shock and hypotension. Other complications to watch for are thromboses and infection. Migraines and fluid overload are not clinical manifestations associated with hemodialysis.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 04. Outline a plan to meet the fluid and dietary restrictions of a child with a renal disorder.

Question 13

Type: MCSA

A child is scheduled for a kidney transplant. The nurse has completed the preoperative teaching to prepare the child and parents for the surgery and postoperative considerations. The nurse will know the parents realistically understand the transplantation process that is involved with a kidney transplant if they state

1. We know its important to see that our child takes prescribed medications after the transplant.

2. Well be glad we wont have to bring our child in to see the doctor again.

3. Were happy our child wont have to take any more medicine after the transplant.

4. We understand our child wont be at risk anymore for catching colds from other children at school.

Correct Answer: 1

Rationale 1: It is important that the nurse emphasize compliance with treatments that will need to be followed after the transplant. Follow-up appointments will be necessary, as well as medications and general health promotion.

Rationale 2: It is important that the nurse emphasize compliance with treatments that will need to be followed after the transplant. Follow-up appointments will be necessary, as well as medications and general health promotion.

Rationale 3: It is important that the nurse emphasize compliance with treatments that will need to be followed after the transplant. Follow-up appointments will be necessary, as well as medications and general health promotion.

Rationale 4: It is important that the nurse emphasize compliance with treatments that will need to be followed after the transplant. Follow-up appointments will be necessary, as well as medications and general health promotion.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 07. Identify growth and developmental issues for the child with chronic renal failure.

Question 14

Type: MCSA

The nurse teaches parents that the anticholinergic drug oxybutynin is used to treat enuresis. The best response when the parents ask why the drug is being used is:

1. Its an antidepressant that is used to help the child relax.

2. It will help decrease the spasms sometimes associated with enuresis.

3. It has an antidiuretic effect, so your child can attend sleepovers.

4. It will slow the production of urine, so your child does not have to urinate as frequently.

Correct Answer: 2

Rationale 1: Oxybutynin (Ditropan) is an anticholinergic that relaxes the smooth muscle of the bladder and decreases spasms. Oxybutynin is not an antidepressant or an antidiuretic, and does not slow urine production.

Rationale 2: Oxybutynin (Ditropan) is an anticholinergic that relaxes the smooth muscle of the bladder and decreases spasms. Oxybutynin is not an antidepressant or an antidiuretic, and does not slow urine production.

Rationale 3: Oxybutynin (Ditropan) is an anticholinergic that relaxes the smooth muscle of the bladder and decreases spasms. Oxybutynin is not an antidepressant or an antidiuretic, and does not slow urine production.

Rationale 4: Oxybutynin (Ditropan) is an anticholinergic that relaxes the smooth muscle of the bladder and decreases spasms. Oxybutynin is not an antidepressant or an antidiuretic, and does not slow urine production.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Outline a plan to meet the fluid and dietary restrictions of a child with a renal disorder.

Question 15

Type: MCSA

A child is being treated for strep throat. The nurse tells the parent to report any abrupt onset of mid-abdominal pain along with malaise, irritability and fever. The nurse is teaching the parent signs of:

1. Sodium retention.

2. Acute post-streptococcal glomerulonephritis.

3. Hemolytic-uremic syndrome.

4. Renal insufficiency.

Correct Answer: 2

Rationale 1: Acute post-streptococcal glomerulonephritis is an inflammation of the glomeruli of the kidneys, and manifests 1021 days after a strep infection. Symptoms are not related to sodium retention, hemolytic-uremic syndrome, or renal insufficiency.

Rationale 2: Acute post-streptococcal glomerulonephritis is an inflammation of the glomeruli of the kidneys and manifests 1021 days after a strep infection. Symptoms are not related to sodium retention, hemolytic-uremic syndrome, or renal insufficiency.

Rationale 3: Acute post-streptococcal glomerulonephritis is an inflammation of the glomeruli of the kidneys and manifests 1021 days after a strep infection. Symptoms are not related to sodium retention, hemolytic-uremic syndrome, or renal insufficiency.

Rationale 4: Acute post-streptococcal glomerulonephritis is an inflammation of the glomeruli of the kidneys and manifests 1021 days after a strep infection. Symptoms are not related to sodium retention, hemolytic-uremic syndrome, or renal insufficiency.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Describe the anatomy and physiology of the genitourinary system and pediatric differences.

Ball/Bindler/Cowen, Principles of Pediatric Nursing 5th Ed. Test Bank

Copyright 2012 by Pearson Education, Inc.

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