NUR 1025 Module 6 EAQs - Questions and Answers A parent of a child with enuresis tells the nurse that they often scold the child for bed-wetting, but it
... [Show More] has not made any difference in the child's behavior. How does the nurse respond? "I would suggest you use positive reinforcement" The nurse is providing care for a child with enuresis. What medication does the nurse expect to be prescribed to the child to inhibit urination? Imipramine (Tofranil) Imipramine (Tofranil) causes an anticholinergic action in the bladder and inhibits urination The nurse is implementing therapeutic techniques in a child's plan of care to manage nocturnal enuresis. Which technique does the nurse include in the care plan? Avoid caffeinated beverages after 4 PM. The nurse is planning care for a child with anemia due to chronic renal failure. Which treatment is likely to be prescribed for the child? Recombinant human erythropoietin (rHuEPO) injections Anemia in children with chronic renal failure is caused by decreased production of erythropoietin. Therefore thrice-weekly or weekly subcutaneous injections of recombinant human erythropoietin (rHuEPO) are prescribed. A child with glomerulonephritis is instructed to restrict fluid intake. On assessment, the nurse finds that the child has lost weight. Which condition does the nurse suspect? Dehydration When fluids are restricted and the child has lost weight, the nurse needs to assess the child for dehydration and report it promptly. What is an advantage of continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal dialysis (CAPD) for adolescents who require dialysis? Adolescents can carry out procedures themselves The nurse is assessing a child with nephrosis. The medical history indicates that there have been relapses even after steroid therapy. Which medication is likely to be prescribed for the child? Cyclophosphamide (Cytoxan) Cyclophosphamide (Cytoxan) is an immunosuppressant medication prescribed for children who do not respond to steroid therapy. An 18-month-old patient suffering from cryptorchidism is scheduled for orchiopexy. The parents want to inquire about the outcome of the surgery. What should be the ideal response of the nurse to the parents' concern? The undescended testicle will be saved from further damage. Cryptorchidism is a defect in which one or both the testes fail to descend into the scrotal sac. The mother of a 7-year-old child with acute poststreptococcal glomerulonephritis (APSGN) is expecting her second child. The concerned mother asks the nurse whether the next child may suffer from the same disease. What should be an appropriate response by the nurse? ''The reason is not genetic; it is not acquired or cannot be inherited from parents.'' APSGN is not a genetic disease, so it cannot be passed from parents to offspring. This disease is caused by an immune complex disorder occurring after the patient suffers from streptococcal throat infection. A child with nephrotic syndrome is being treated with corticosteroids. The child's parents tell the nurse that the child has suddenly gained weight and the child's face has become round. How does the nurse respond? "These side effects will diminish after completing the therapy." A young child is diagnosed with vesicoureteral reflux. The nurse should know that this usually is associated with what? Recurrent kidney infections Reflux allows urine to flow back to the kidneys. When the urine is infected, this contributes to kidney infections. A child has been prescribed desmopressin acetate (DDAVP) nasal spray for enuresis. The nurse observes that two sprays before bedtime cause nasal irritation in the child. Which intervention does the nurse implement? Give a tablet form of the medication The nurse substitutes the sprays with the tablet form of desmopressin acetate to prevent the irritation caused by the nasal sprays. The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What is the nurse's best reply? "Acute hypertension (or high blood pressure) must be anticipated and identified." Vital signs, in particular blood pressure, provide information about the severity of the disease and early signs of complications. Acute hypertension is anticipated and requires frequent monitoring for early intervention. A child with acute glomerulonephritis (AGN) with edema and oliguria is hospitalized. Which sign does the nurse remain alert for in the child? Hypertension A child with AGN in the edema or oliguria phase is at risk for acute hypertension. Therefore the nurse needs to take blood pressure measurements every 4 to 6 hours. The nurse is taking care of a 14-month-old child with nephrotic syndrome. What is the ideal method by which the nurse can monitor fluid retention or excretion? Use diapers and weigh wet pads Continuous monitoring of fluid retention and excretion is an important duty of the nurse. The best method of monitoring fluid intake and output for a 14-month-old child is using diapers and weighing wet pads. This pad keeps an accurate tab on the fluid dynamics. External defects of the genitourinary tract such as hypospadias are usually repaired as early as possible to do what? Promote development of normal body image Promoting the development of normal body image is extremely important. Surgery involving sexual organs can be very upsetting to children, especially preschoolers who fear mutilation and castration The parents of a child with glomerulonephritis tell the nurse that the child has asked them to bring pretzels for snacks. How does the nurse respond? "Pretzels should be avoided completely." Pretzels are high in salt, so they are avoided if the child has glomerulonephritis. Asking the parents to get low-salt pretzels is not appropriate as the child may have increased proteinuria even with small amounts of salt intake. Telling the parents to bring pretzels once a week is not advisable as salt is restricted. Water and salt is restricted in the child to decrease proteinuria. What do the major goals of therapy for children with cerebral palsy include? Recognizing the disorder early and promoting optimal development Because cerebral palsy is currently a permanent disorder, the goal of therapy is to promote optimal development Parents of a child with spinal muscular atrophy (SMA) are concerned their child is not receiving enough oxygenation during sleep. The nurse knows that inadequate oxygenation can lead to hypoxemia. How does the nurse respond to the parent's concerns? "Use home pulse oximetry." [Show Less]