The Child With Genitourinary Dysfunciton

Front 1

the single most important diagnostic laboratory test for renal problems:

Back 1

urinalysis

Front 2

urinary tract inflammatory process normal result of urine:

Back 2

4.8-7.8

Front 3

specific gravity normal result:

Back 3

1.016-1.022

Front 4

urine culture and sensitivity normal result:

Back 4

clear, pale yellow to deep gold

Front 5

appearance of urine:

Back 5

determines presence of pathogens and the drugs to which they are sensitive

Front 6

the single most important host factor influencing the occurrence of a urinary tract infection is:

Back 6

urinary stasis

Front 7

list the four objectives of the therapeutic management of the child with a urinary tract infection:

Back 7

1. eliminate current infection. 2. identify contributing factors to reduce the risk of recurrence. 3. prevent systemic spread of the infection. 4. preserve renal function

Front 8

define vesicoureteral reflux (VUR)

Back 8

refers to the abnormal retrograde flow of bladder urine into the ureters

Front 9

UTIs are often undetected in children. The nurse would suspect a UTI if the child exhibits

Back 9

1. incontinence in a toilet-trained child 2. strong-smelling urine 3. frequency and/or urgency

Front 10

obstruction of the urinary system can be:

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1. congenital or acquired 2. unilalteral or bilateral 3. complete or incomplete 4. acute or chronic

Front 11

hydronephrosis

Back 11

dilation of lthe renal pelvis due to urine collection

Front 12

hydrocele

Back 12

fluid in scrotum

Front 13

epispadias

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meatal opening located on dorsal surface of penis

Front 14

phimosis

Back 14

narrowing or stenosis of preputial opening of fore-skin

Front 15

cryptorchidism

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failure of one or both testes to descend normally through inguinal canal

Front 16

the massive edema seen in nephrotic syndrome is a result of:

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hypoalbuminemia, leading to decreases in osmotic pressure

Front 17

a clinical manifstation of nephrotic syndrome is

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proteinuria

Front 18

________ are the primary therapeutic agents used to treat nephrotic syndrome:

Back 18

corticosteroids

Front 19

a common side effect of steroid therapy is:

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growth retardation

Front 20

clinical manifestation of nephrotic syndrome

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anasarca, increased serum lipid levels

Front 21

s/s of acute glomerulonephritis:

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hypertension, hematuria, azotemia,

Front 22

list the methods used in the diagnostic evaluation of acute glomerulonephritis:

Back 22

1. history of a sore throat and/or skin infection 2. urine analysis 3. ASO titer 4. elevated antihyaluronidase (AHase) and antideoxyribonuclease B (ANDase-B) titers and streptozyme levels 5. decreased serum complement levels 6. chest x-ray

Front 23

the function of the ________ _______ is the reabsorption of substances; the function of the ________ is filtration

Back 23

proximal tubules; glomeruli

Front 24

______ ____ ________ represents one of the most frequent causes of acquired acute renal failure in childhood.

Back 24

hemolytic uremic syndrome

Front 25

the primary site of injury in hemolytic uremic syndrome is:

Back 25

the lining of the small glomerular arterioles

Front 26

list the clinical manifestations of hemolytic uremic synkdrome.

Back 26

1. vomiting 2. irritability 3. lethargy 4. pallor 5. hemorrhagic manifestations 6. anuria or aliguria 7. central nervous system involvement 8. signs of acute heart failure

Front 27

the anemia seen in hemolytic uremic syndrome results form:

Back 27

the damage to the red blood cells in the arterioles and the subsequent hemolysis; the damaged cells are removed by the spleen

Front 28

_______ ______ is a childhood cancer that may be genetically inherited.

Back 28

Wilms tumor

Front 29

wilms tumo5r is treated by combined treatment of _____ and ________ with or without ________, depending on clinical stage and histologic patten.

Back 29

surgery, chemotherapy, radiation

Front 30

a most common cause of acute renal falure in children is:

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dehydration

Front 31

the prime clinical menifestation of acut erenal failure is ___________.

Back 31

oliguria

Front 32

treatment of acute renal failure is directed toward:

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1. treating the underlying cause 2. management of the complications of renal failure 3. provision of supportive therapy

Front 33

two life-threatening complications of acute renal failure are:

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hyperkalemia, hypertension

Front 34

dialysis is:

Back 34

the process of separating colloids and crystalline substances in solution by the difference in their rate of diffusion through a semipermeable membrain

Front 35

the types of dialysis are:

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1. pertoneal dialysis 2. homodialysis 3. hemofiltration

Front 36

which type of dialysis is preferred in order to preserve the chil'd independence:

Back 36

pertoneal dialysis

Front 37

when renal function is severly compromised, _________ _____________ is an acceptable and effecdtive means of therapy in the pediatric age group

Back 37

renal transplantation

Front 38

age 3 months; hasw been eating poorly, is running a high temp; iis sleeping much more than usual, and seems to be voiding large amounts. which s/s yielded to renal disease:

Back 38

1. fever 2. voiding large amounts 3. poor feeding

Front 39

the most important nursing goal when caring for children with urinary tract infection is

Back 39

prevention

Front 40

list nursing interventions used to care for UTI infant:

Back 40

1. collect specimen 2. preparae parents for diagnostic procedur 3. administer antimicrobials as ordered 4. monitor vital signs 5. monitor urine output 6. increase fluid intake 7. teach parents how to perform his home care 7. teach parents how to prevent recurrences

Front 41

minimal-change nephrotic syndrome--formulate nursing diagnosis r/t the presence of edema

Back 41

fluid volume excess related to fluid accumulation in tissues and third spaces

Front 42

what is the rationale for providing meticulowus skin care for nephrotic syndrome:

Back 42

the presence of edema may predispose the child to skin breakdown and may make routine care more difficult

Front 43

how to obtain specimens from absorbent disposable diapers:

Back 43

put a cottonball in diaper especially at night. nurse can squeeze urine from the cottonball with ease for specimen collection

Front 44

list the nursing interventions necessary to maintain fluid balance in 6 year old child

Back 44

1. monitor fluid and electrolyte balance 2. weigh child daily 3. measure I/O 4. measure specific gravity of urine 5. observe for signs of dehydration and overload 6. monitor vital sings

Front 45

In preparation for home care for kid with acute glomerulonephritis. how would the nurse evaluate whether the parents understood her instructions

Back 45

the parent's will demonstrate testing of urine and vital signs correctly. they will verbalize the instructions regarding other measures with accuracy

Front 46

what were the s/s of hemolytic uremic syndrome

Back 46

vomiting, irritability, lethargy, pallor, hemorrhagic manifestations, signs of heart failure

Front 47

in order for the family to maintain home dialysis, the nurse must teach the family. what areas would be included in the teaching plan

Back 47

1. the disease, its implications, and the tehrapeutic plan 2. the possible psychologic effects of the disease and its treatment 3. the technical aspects of the porocedure