A nurse assesses that a child with acute glomerulonephritis has a urinalysis that would show:

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  1. Science
  2. Medicine
  3. Pediatrics

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Terms in this set (65)

cystitis

inflammation of the bladder

frequency

abnormal number of voidings in a short period of time

hydrocele

excessive amount of fluid in the scrotal sac

hypospadias

congenital defect in which the urinary meatus is not the end of the penis but on a lower shaft

oliguria

decreased urinary output

phimosis

narrowing of the preputial opening of the foreskin

polyuria

increased urinary output

pyelonephritis

infection of the kidney and pelvis

urgency

impulse to void but inability to do so

vesicoureteral reflux

backflow of urine from the bladder into the ureters

list five tests used to determine the cause of urinary dysfunction

urinalysis, IV pyelogram, CT, cystoscopy, renal biopsy urinalysis, IV pyelogram, CT, cystoscopy, renal biopsy

true or false the newborns kidneys function immaturely

true

true or false there is an unexplained relationship between low-set ears and abnormalities of the urinary tract

true

true or false phimosis is normal in newborn males and usually disappears by the time A boy is 3 years old

true

true or false the optimal time for surgical repair of hypospadias and epispadias is the late preschool period

false

true or false surgical repair of exstrophy of the bladder is done in the first two days of life

true

distention of the renal pelvis due to an obstruction is referred to

hydronephrosis

how would the nurse assess a child for bladder distention

palpate gently below the umbilicus moving toward the symphysis pubis

list four of the possible reasons why urinary tract infections are more common in girls than boys

shorter urethra, urethra closer to anus, retention of urine, vaginitis

what Laboratory test is done to confirm a diagnosis of UTI

urine culture before antibiotics, renal / bladder ultrasound, vcug

what classification of medication is used to treat a newly identified UTI in a 4 year old child

broad spectrum oral antibiotics

the characteristic sign of nephrotic syndrome is what

edema

where does nephrotic syndrome edema usually occur first

in the eyes and ankles

the nurse would expect a urinalysis of a child with nephrotic syndrome to reveal massive what

albumin / protein

what is the treatment of choice for nephrotic syndrome

steroid therapy oral prednisone

list three types of positioning care that might be given to a child with nephrotic syndrome

pillow Place between knees with child laying inside, keep child's head elevated during the day to lower eyelid edema, bathe the eyes to prevent exudate accumulation

when observing the urine of the child with nephrotic syndrome, the nurse should note

character, color, odor, quantity

the child receiving treatment for nephrotic syndrome is at risk for what

infection

acute glomerulonephritis is thought to be what kind of reaction caused by what

an antigen-antibody reaction caused by group a beta hemolytic

list for nursing interventions that would be appropriate for the child who has acute glomerulonephritis

accurately record i&o, frequently assess Vital Signs, observe for fatigue, prevent infection

foods high in what are restricted when a child with acute glomerulonephritis is oliguric

potassium

what organ is affected by Wilms tumor

kidney

what is involved in the treatment of Wilms tumor

surgery, radiation, chemotherapy

what precaution is taken in a child with Wilms tumor to prevent spread of the disease

palpation of the abdomen is avoided

cryptorchidism with acute scrotal pain can indicate a condition called

testicular torsion

surgical repair of cryptorchidism is called

orchiopexy

the nurse is planning care for a child with nephrotic syndrome knows the classification of medication used to reduce edema in nephrotic syndrome is

steroids

an expected outcome for a child with nephrotic syndrome is the prevention of

skin breakdown

which statement indicates to the nurse that a parent understands information about hypospadias

surgical repair is usually performed by age 18 months

which instruction should the nurse give parents about caring for a child with acute glomerulonephritis with oliguria

limit activity until gross hematuria subsides

the nurse should assess a child with acute glomerulonephritis for the presence of

hypertension

Wilms tumors are often discovered when

a routine physical is given

a parent reports her son's urethral opening is located on the undersurface of the penis. The nurse recognizes the child has which genitourinary condition

hypospadias

what information should the nurse include when teaching young girls about preventing UTIs

wipe from front to back

the etiology of acute glomerulonephritis is thought to be and

antigen antibody reaction

the nurse is assessing urinary output for a child with acute glomerulonephritis should expect urine to be

Smokey Brown

which is a sign of a UTI in a 6 year old child

pain when urinating

the nurse is caring for a child who has a ureterostomy. With this urinary diversion the nurse is aware that

ureters are surgically implanted outside the abdominal wall

children receiving steroids for nephrosis should be

monitored closely for signs of infection

when weighing diapers on a gram scale, the conversion from grams to millimeters is

1g equals 1 ml

while the child with nephrotic syndrome is being treated, he or she should not receive

immunizations

while caring for a child with glomerulonephritis, the nurse observes a rise in the child's blood pressure. What is the most appropriate nursing action

notify the physician

what is an acceptable urine output for an 18 month old child

2 - 3 ml / kg/ hr

What nursing action would be avoided when caring for a child diagnosed with Wilms tumor

abdominal palpation

a parent tells the nurse my child is going to have a test that takes an x-ray before and while he is urinating. The child is scheduled for which diagnostic study

voiding cystourethrography

cryptorchidism

undescended testicle

vesicostomy

surgical opening into the bladder between the umbilicus and pubis

oliguria

decreased urinary output

hydronephrosis

distention of the renal pelvis caused by obstruction

frequency

abnormal number of weddings in a short period

albuminemia

protein in the blood

pyelonephritis

infection of the kidney and renal pelvis

urgency

urge to void but inability to do so

neutropenia

absolute neutrophil count below 1000 / mm3

hydrocele

excessive amount of fluid in the sac that surrounds the testicle

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What is the most common finding in acute glomerulonephritis?

Glomerulonephritis signs and symptoms may include: Pink or cola-colored urine from red blood cells in your urine (hematuria) Foamy or bubbly urine due to excess protein in the urine (proteinuria) High blood pressure (hypertension)

What are the symptoms of acute glomerulonephritis?

What are the symptoms of glomerulonephritis?.
Fatigue..
High blood pressure..
Swelling of the face, hands, feet, and belly..
Blood and protein in the urine (hematuria and proteinuria).
Decreased urine output..

What is acute glomerulonephritis in pediatrics?

What is Pediatric Acute Glomerulonephritis? Acute glomerulonephritis results from inflammation of tiny tubes (glomeruli) in the kidney. These tubes act as a filter, cleaning the blood by separating wastes and extra fluid. When the glomeruli do not function properly, waste products build up in blood.

Which combination of signs is commonly associated with glomerulonephritis?

4. Which combination of signs is commonly associated with glomerulonephritis? a) Massive proteinuria, hematuria, decreased urinary output, and lethargy.