A child is receiving cyclosporine after a kidney transplant. The child's parents ask the nurse the reason for the cyclosporine. The nurse's response is based on the knowledge that the medication's purpose is to: 1 Decrease pain 2 Boost immunity 3 Suppress rejection 4 Improve circulation to the kidn...
Peds GU Practice Questions and
Solutions
A child is receiving cyclosporine after a kidney transplant. The child's parents ask the
nurse the reason for the cyclosporine. The nurse's response is based on the knowledge
that the medication's purpose is to:
1
Decrease pain
2
Boost immunity
3
Suppress rejection
4
Improve circulation to the kidney ✅Answer: 3
Cyclosporine is given to suppress rejection. Cyclosporine does not decrease pain, boost
immunity, or improve circulation.
Vesicoureteral reflux will most likely lead to:
1
Hypotension
2
Incontinence
3
Recurrent kidney infections
4
Increased renal arterial perfusion ✅Answer: 3
Vesicoureteral reflux is associated with recurrent kidney infections, not hypotension,
incontinence, or increased renal arterial perfusion.
The nurse is educating an adolescent female about proper hygiene and necessary care
to prevent urinary tract infections. What should the nurse include in the teaching plan?
1
The importance of urinating two times a day
2
The importance of limiting water intake to 5 ounces a day
3
The importance of wearing nylon underwear instead of cotton
4
The importance of wiping the perineum from the front to the back ✅Answer: 4
The adolescent should clean perineum in a front-to-back direction, as back-to-front will
increase the risk of infection. Holding urine in the bladder and voiding only twice a day
will increase the risk of urinary tract infections; the patient should void whenever the
bladder gets full. Proper hygiene and hydration help to prevent the risk of urinary tract
, infections. The nurse should instruct the patient to drink as much water as possible. The
patient should avoid tight clothing, and wear cotton panties rather than nylon.
Nephrotic syndrome is a clinical state that includes hypoalbuminemia, hyperlipidemia,
and what?
1
Creatine and edema
2
Uric acid and edema
3
Proteinuria and edema
4
Blood urea nitrogen and proteinuria ✅Answer: 3
Nephrotic syndrome is a clinical state that includes massive proteinuria,
hypoalbuminemia, hyperlipidemia, and edema.
What accounts for the increased incidence of bacteriuria in females?
1
Lower urinary tract
2
Higher urinary tract
3
Higher intake of fluids
4
Frequent emptying of the bladder ✅Answer: 1
The lower urinary tract accounts for the increased incidence of bacteriuria in females.
Females have a lower, not a higher, urinary tract, which increases the incidence for
bacteriuria. Frequent emptying of the bladder and a higher intake of fluids help to
prevent infections and are therefore not associated with an increased incidence of
bacteriuria in females.
A 5-year-old child has been sent to the school nurse for urinary incontinence three times
in the past 2 days. The nurse should recommend to the child's parents, as a priority
action, that the child be evaluated for:
1
School phobia
2
Emotional causes
3
Urinary tract infection
4
Structural defects of the urinary tract ✅Answer: 3
Incontinence in a previously toilet-trained child can be an indication of a urinary tract
infection. A physical cause of the problem needs to be eliminated before a psychologic
cause is considered. Emotional causes should be investigated only once a physical
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