NSG160-Chapter 43: reproduction Flashcards
(25 cards)
____________________ (drug) is used to decrease potassium levels
Polystyrene sulfonate (Kayexalate)
_______________ (drug) is used to treat a trichomonal infection.
Metronidazole
_______________ (drug) is used to treat candidiasis.
Miconazole
_______________ (drug) is used to treat a chlamydial infection.
Doxycycline
_______________ (drug) is used to treat herpes genitalis.
Acyclovir
_______________ (drug) is used to treat gonorrhea.
Ceftriaxone
a birth defect of the urethra in the male that involves an abnormally placed urinary meatus (the opening, or male external urethral orifice). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans. (The foreskin may be needed for repair.
Hypospadias
Length of time monitored undescended testicles
1 year. The AAP recommends surgery at 1 year of age if the testicles have not descended on their own. There is a chance they may descend on their own prior to 1 year old. This problem does not cause pain or swelling.
A child is administered oxybutynin (Ditropan) following surgical repair of a hypospadias. The purpose of this drug is to
relieve bladder spasms.
Two primary nursing interventions for child UTI:
- Collect a “clean catch” voided urine.
* Observe the child for signs of any reactions to the antibiotics.
Symptoms of _____________ often appear one to three weeks after the onset of a streptococcal infection such as strep throat.
Acute glomerulonephritis.
May be prescribed for nocturnal enuresis
desmopressin (generally intranasally)
Lab that determines glomerular filtration rate
creatinine clearance [note: a venous blood sample is normally compared with the urine findings]
Nursing intervention for nephrotic syndrome.
Weighing on the same scale each day
Explanation:
The child with nephrotic syndrome is weighed every day using the same scale to accurately monitor the child’s fluid gain and loss.
The presenting symptom in acute glomerulonephritis
grossly bloody urine. The caregiver may describe the urine as smoky or bloody. [Periorbital edema may accompany or precede hematuria].
Acute glomerulonephritis is a condition that appears to be an allergic reaction to specific infections, most often group A beta-hemolytic streptococcal infections such as rheumatic fever. Presenting symptoms appear one to three weeks after the onset of a streptococcal infection such as strep throat, otitis media, tonsillitis, or impetigo. Usually the presenting symptom is grossly bloody urine. Periorbital edema may accompany or precede hematuria. Fever may be 103 to 104 degrees Fahrenheit at the onset but decreases in a few days to about 100 degrees Fahrenheit. Slight headache and malaise are usual, and vomiting may occur.
Most urinary tract infections seen in children are caused by
Intestinal bacteria
Explanation:
Although many different bacteria may infect the urinary tract, intestinal bacteria, particularly Escherichia coli, account for about 80% of acute episodes. Hereditary and dietary concerns are not causes of urinary tract infections.
In children with _______________, malnutrition may become severe. The generalized edema masks the loss of body tissue, causing the child to present a chubby appearance and to double his or her weight. After diuresis, the malnutrition becomes quite apparent. Anorexia, irritability, and loss of appetite develop. Hematuria is not usually present, although a few red blood cells may appear in the urine. There is an increase in the level of cholesterol in the blood.
nephrotic syndrome
The nurse is taking a health history of a 12-year-old boy presenting with scrotal pain. Which assessment finding would indicate testicular torsion?
Sudden onset of severe scrotal pain with significant hemorrhagic swelling
Explanation:
Testicular torsion is characterized by a testicle that is abnormally attached to the scrotum and twisted. Signs and symptoms include sudden onset of severe scrotal pain with significant hemorrhagic swelling. Enlarged glands and fever point to infection. A hardened and tender epididymitis points to epididymitis. Fever and urethral discharge suggest infection. Scrotal swelling is associated with testicular torsion, epididymitis, and hydrocele.
Bladder capacity reaches adult capacity by age __________. Bladder capacity is about ____ in the newborn and increases to the usual adult capacity of about ____________ by _________.
1 year; 30 mL; 270 mL by 1 year of age
Glomerular filtration rate is _______ in the infant and young toddler compared with the adult.
slower
The renal system usually reaches functional maturity by ________.
2 years of age
The kidneys of a child are (less well or better) protected from injury by the ribs and fat padding than they are in the adult.
less well
________ provides general information about kidney function.
Urinalysis
______, ________, and ______ x-ray provides information about the size and contour of the kidneys
A kidneys, ureters, and bladder x-ray
