CH 24 GENITOURINARY PEDS PRACTICE QUESTIONS AND CORRECT ANSWERS
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Course
GU Peds
Institution
GU Peds
Renal and urethral structure: oLarger kidneys in relation to abdomen.
oUrethral opening close to rectum.
oShorter urethras.
Renal and urinary function: oAll nephrons present at birth but immature.
oReduced glomerular filtration rate.
oUnable to concentrate urine.
oLess urine output per day bu...
Nursing Interventions for Genitourinary Disorders ✅Maintain adequate hydration.
Maintain normal fluid and electrolyte balance.
Meet nutritional requirements.
Prevent infection.
Promote bladder emptying.
Promote pain relief and comfort.
Promote incisional healing and prevent skin breakdown.
Provide emotional and psychosocial support.
Administer and manage medications.
Urinary Tract Infections (UTIs) ✅Bacteria enter urethra and ascend to bladder.
Cystitis
Pyelonephritis
Risk factors can be structural or environmental
Clinical manifestations vary by age and severity of UTI.
Cystitis involves ✅urethra and bladder
Pyelonephritis involves ✅ureters, renal pelvis, or renal parenchyma
UTI Diagnostic and care ✅Collect a urine sample for culture and sensitivity.
Begin antibiotic therapy; IV if pyelonephritis.
Phenazopyridine for symptomatic management
Most common cause of UTI ✅Bacterial related to ecoli
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