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Level 3 > Families Exam 5 - Genitourinary > Flashcards

Families Exam 5 - Genitourinary Flashcards

(52 cards)

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1
Q

What should be assessed with enuresis?

A
  • psychosocial status
  • self esteem
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2
Q

What should a child with enuresis do before bed?

A

empty their bladder

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3
Q

When should fluids be given and restricted with enuresis?

A

given during the day, restricted at night

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4
Q

What should be restricted after 4 pm with enuresis?

A
  • caffeine/carbonation
  • fruit/fruit drinks
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5
Q

What should a child with enuresis avoid?

A
  • diapers
  • punishing, scolding, teasing
  • holding in pee during the day
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6
Q

Should you wake up a child with enuresis during the night to go to the bathroom?

A

YES

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7
Q

What happens with urination with a UTI?

A
  • infants scream
  • children have pain
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8
Q

What causes frequent urination?

A

UTI

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9
Q

What should be encouraged when a child has a UTI?

A
  • frequent voiding
  • complete emptying of bladder
  • fluids
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10
Q

What is the plan of care for a UTI?

A
  • fluids
  • culture
  • antibiotics
  • mild analgesic (acetaminophen)
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11
Q

What are complications of UTI?

A
  • progressive kidney infection
  • urosepsis
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12
Q

Where is the urethral opening with hypospadias?

A

on the bottom of the penis

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13
Q

Where is the urethral opening with epispadias?

A

on the top of the penis

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14
Q

What is common with epispadias and hypospadias?

A

urinary retention

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15
Q

Why can’t an infant with hypospadias have a circumcision?

A

the foreskin is used for surgical repair within the 1st year of life

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16
Q

What does it look like if a female has epispadias?

A
  • wide urethra
  • bifold clitoris
  • possible exstrophy of the bladder
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17
Q

When is surgery done for epispadias?

A

within the first year of life

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18
Q

What is important to monitor for with hypospadias?

A

UTI

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19
Q

What is important to monitor for with epidpadias?

A

infection

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20
Q

Where is edema seen with nephrotic syndrome?

A
  • facial and periorbital
  • lower extremities
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21
Q

What does the urine look like with nephrotic syndrome?

22
Q

What does a urinalysis show with nephrotic syndrome?

Study These Flashcards
A
  • proteinuria
  • hyaline casts
  • few RBC’s
  • oval fat bodies
23
Q

What labs are abnormal with nephrotic syndrome?

Study These Flashcards
A
  • BUN/creatinine: increased
  • albumin: decreased
  • cholesterol: increased
  • H&H: increased
  • PLT: increased
  • sodium: possibly decreased
24
Q

What should be restricted with nephrotic syndrome?

25
How can infection be prevented with nephrotic syndrome?
TCDB
26
What should be measured daily with nephrotic syndrome?
- I&O - abdominal girth - edema
27
When should prednisone be given?
- nephrotic syndrome - with meals
28
What needs to be increased when taking furosemide?
foods with potassium
29
What medication for nephrotic syndrome decreases edema?
IV albumin followed by furosemide
30
What is given if the child cannot tolerate prednisone?
cyclophosphamide
31
What can be a big sign of acute glomerulonephritis?
a recent upper respiratory or streptococcal infection
32
What does the urine look like with acute glomerulonephritis?
- cloudy - tea-colored
33
When is facial edema worse with acute glomerulonephritis?
in the morning
34
Where does edema spread to during the day with acute glomerulonephritis?
the extremities and abdomen
35
Is mild to severe HTN normal with acute glomerulonephritis?
YES
36
What does a urinalysis show with acute glomerulonephritis?
protein and blood
37
What might be restricted with acute glomerulonephritis?
- fluid and sodium - if experiencing oliguria, potassium
38
What type of meals should a patient with acute glomerulonephritis have?
small, frequent meals of favorite foods
39
What should you monitor with acute glomerulonephritis?
- I&O - VS - daily weights - neuro status - behavior changes - skin breakdown
40
What is important to manage during HTN and edema with acute glomerulonephritis?
fluid restriction
41
What precautions may be necessary with acute glomerulonephritis?
seizure
42
What medications are used for acute glomerulonephritis?
- diuretics - anti-HTN
43
What does hemolytic uremic syndrome consist of?
- acute renal failure - hemolytic anemia - thrombocytopenia
44
What bleeding manifestations occur with hemolytic uremic syndrome?
- bruising - purpura - rectal bleeding - hematuria - decreased H&H
45
What can be present in the diarrhea with hemolytic uremic syndrome?
E. coli
46
What should be avoided with hemolytic uremic syndrome?
- undercooked meat - unpasteurized apple juice - unwashed raw veggies - public pools - antimotility meds
47
When is hemodialysis or peritoneal dialysis used with hemolytic uremic syndrome?
- anuria for 24 hours - oliguria with uremia - HTN - seizures
48
When would blood transfusions be used for hemolytic uremic syndrome?
- fluid replacement - severe anemia
49
What should be done once V/D stops with hemolytic uremic syndrome?
enteral feedings
50
What does discharge look like with vulvovaginitis?
- thick - white - possible fish smell
51
What medication should be used for vulvovaginitis?
metronidazole
52
When should the client wear cotton underpants and avoid douching/powders?
vulvovaginitis

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