Notes from others

Question 1

What can Aspirin Cause?

Answer 1

GI bleeding

Question 2

What is the worst thing that can happen with Kawasaki’s Disease?

Answer 2

Coronary Aneurysm

Question 3

What is Phimosis?

Answer 3

The foreskin cannot be drawn back.

Question 4

What do you need to know about Wilm’s tumor?

Answer 4

It is sac-enclosed. YOU DO NOT BIOPSY.

Question 5

Hip Dysplasia

Answer 5

Gluteal Bifold. Not sure what this was supposed to mean.

Question 6

Can a person with scoliosis remove a brace to go swimming?

Answer 6

Yes, it can be taken off for bathing, exercise or sports.

Question 7

Transillumination of hydrocele is not a tumor.

Answer 7

ok.

Question 8

What do you use for an extropic bladder?

Answer 8

Gauze and saline.

Question 9

What do you give post-op for a person who had pyloric stenosis?

Answer 9

Pedia-lite or something to help with their electrolytes.

Question 10

What is the most common GI complication?

Answer 10

Gastroesoph. Reflux.

Question 11

If a person has rebound pain what do they probably have?

Answer 11

Appendicitis.

Question 12

What can cause failure to thrive?

Answer 12

Poverty and lack of parental bonding.

Question 13

Which condition presents with ribbon-like stools?

Answer 13

Hirschsprungs

Question 14

Sodium, Potassium and Chloride was the answer to a question.

Answer 14

Nobody can remember the question.

Question 15

A mild sprain is:

Answer 15

Microscopic tearing of the ligament.

Question 16

A moderate sprain is:

Answer 16

A partial tearing of the ligament.

Question 17

A severe sprain is:

Answer 17

It has less pain that a moderate sprain because the pain fibers are not being stretched. Severe ecchymosis.

Question 18

What drug is given for folks with hypospadias?

Answer 18

Ditropan. Side effects include facial flushing & dry mouth

Question 19

A nurse is providing education to the parents of a child with enuresis. The nurse is discussing the elimination of foods and beverages that are known irritants to the bladder. Which of the following should the nurse encourage the family to consider limiting? Select all that apply.

A. Milk and cheese
B. Colas and teas
C. Oranges and grapefruits
D. Grains

Answer 19

Answer:

Milk and cheese
Colas and teas
Oranges and grapefruits

Question 20

Male children are less susceptible to urinary tract infections (UTIs). Which of the following rationales provide(s) evidence to support this finding? Select all that apply.

A. Longer urethra
B. Secretions from the prostate
C. Testosterone providing active immunity to bacteria
D. Bacterial contamination being less common in males

Answer 20

Answer:

Longer Urethra
Secretions from the prostate

Question 21

A child is recovering at home from nephrotic syndrome and is on a regimen of prednisone and antibiotics. The child’s parents call the pediatric clinic and tell the nurse that their child is gaining a lot of weight. The nurse will first suspect which of the following possible causes of the weight gain?

A. Ravenous appetite as a side effect of steroid therapy
B. Sodium retention and concurrent retention of water
C. Edema associated with steroid therapy
D. Worsening or relapse of the nephrotic syndrome

Answer 21

Answer:

Sodium retention and concurrent retention of water

Question 22

You are the nurse assigned to work with a child with nephrotic syndrome. By following the prescribed treatment regimen, the child experiences a remission. You are now checking to make sure they do not have a relapse. Which finding would most lead you to the conclusion that they had relapsed?

A. A temp of 100, flank pain, burning, frequency, urgency on voiding and cloudy urine
B. A urine dipstick measurement of 2+ proteinuria or more x 3 days, or 3-4+ proteinuria plus edema
C. Elevated temp, cough, sore throat
D. A urine dipstick + for glucose in the urine x 3 days, extreme thirst, increased urine output and a moon face

Answer 22

Answer:

A urine dipstick measurement of 2+ proteinuria or more x 3 days, or 3-4+ proteinuria plus edema

Question 23

Which of the following statements best describes a hydrocele?

A. An outpouching on the scrotum that contains water
B. A collection of water or fluid in the foreskin
C. An inguinal hernia containing fluid
D. A collection of fluid in the scrotal sac

Answer 23

Answer:

A collection of fluid in the scrotal sac

Question 24

After assessing a child with cryptorchidism and assessing the child’s family, the nurse writes a diagnosis of anxiety (caregiver). Which of the following concerns would the anxiety most likely be related to in addition to the child’s increased risk of malignancy?

A. Fear the child will suffer pain
B. Child’s risk for decreased fertility
C. Fear of the child having gender confusion
D. guilt

Answer 24

Child’s risk for decreased fertility

Question 25

The management of cryptorchidism usually involves which of the following interventions?

A. Observation while awaiting spontaneous descent of the testes in the first year after birth
B. Large doses of testosterone given daily
C. Orchiopexy surgery performed as soon as possible after detection
D. Downward massaging of the testis involved to encourage downward migration

Answer 25

Observation while awaiting spontaneous descent of the testes in the first year after birth

Question 26

The nurse is assigned to a child who had surgery for repair of hypospadias and the child has a bladder stent. Upon assessment, the nurse finds that the child is suffering bladder spasms. Which of the following medications ordered by the surgeon alleviates bladder spasm?

A. Oxybutynin chloride (Ditropan)
B. Dezocine (Dalgan)
C. Guanadrel sulfate (Hylorel)
D. Propranolol (Inderal)

Answer 26

Oxybutynin chloride (Ditropan)

Question 27

The nonsurgical management for a child with vesicoureteral reflux focuses most on which one of the following goals?

A. Urine will be produced at 15-40 ml/hr
B. There will be no episodes of UTI’s
C. Medication will be taken 100% of the time
D. The child will remain in school 100% of the time

Answer 27

There will be no episodes of UTI’s

Question 28

When the nurse uses the terms enuresis and incontinence correctly, the nurse uses these terms keeping in mind which of the following facts?

A. These terms mean the same thing
B. Incontinence is caused by a malformation of the urinary tract, and enuresis is not
C. Incontinence can occur anytime, while enuresis only occurs with bed-wetting at night
D. Incontinence is a term used only for adults, and enuresis is a term used only for children

Answer 28

Incontinence is caused by a malformation of the urinary tract, and enuresis is not

Question 29

The school nurse is talking with caregivers and school-aged girls about the prevention of UTI’s. Which of the following teachings will be most helpful in preventing UTI’s?

A. “Children will benefit from warm bubble baths to keep the external urinary openings clean”.
B. “Have the children wear nylon underwear rather than cotton underwear”.
C. “Girls should always wipe with toilet tissue from the front to the back and never the back to the front”.
D. “Children can learn to hold their urine for 3-4 hours to strengthen the bladder muscle tone”.

Answer 29

“Girls should always wipe with toilet tissue from the front to the back and never the back to the front”.

Question 30

Which of the following are the most common bacteria to infect the urinary tract?

A. Escherichia coli
B. Enterobacter
C. Proteus species
D. Pseudomonas

Answer 30

Escherichia coli