Ch 24 ATI

Question 1

Types of enuresis

Answer 1

Primary [child has never been free of bed wetting]
Secondary [child started bed wetting after the development of urinary control]

Question 2

R/F for enuresis

Answer 2

Males
Behavioral disorders
Emotional events

Question 3

Therapeutic procedures for enuresis

Answer 3

Conditioning therapy: waking the child periodically to void
Kegal exercises
Retention control measures

Question 4

Meds for enuresis

Answer 4

Imipramine - inhibits urination [avoid sun exposure]
Desmopressin -reduces the volume
Oxybutynin - reduces bladder contraction

Question 5

Urosepsis

Answer 5

Febrile UTI with systemic manifestations.

Question 6

Notable R/F of UTI

Answer 6

Gender
Bubble baths
Sexual activiy
Inadequate hygiene of uncircumcised penises
Synthetic

Question 7

UTI findings in children

Answer 7

Poor appetite
Vomiting
Slowed growth
Enuresis
Swelling of the face
Seizures
Pallor
Fatigue

Question 8

What is the most effective way to collect urine in children under two?

Answer 8

A sterile cath and/or a suprapubic aspiration are the most accurate methods for obtaining a urine specimen.

Question 9

Lab tests that indicate a UTI

Answer 9

Ph: Acidic
Protein: Positive
Glucose: Positive
Ketones: Positive
Leukocytes: Positive
Nitrites: Positive
RBC: Positive

Question 10

Tests indicative of a Uti location or anatomical defects

Answer 10

Radioisotope renography
Bladder washouts
Ultrasonography
Voiding cystourethrogram
IV Pyelogram
Dimercaptosuccinic acid

Question 11

What should you assess for whenever contrast is used

Answer 11

Allergy to iodine or shellfish