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Level 3 > Families Exam 5 - Genitourinary > Flashcards

Families Exam 5 - Genitourinary Flashcards

1
Q

What should be assessed with enuresis?

A
  • psychosocial status
  • self esteem
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2
Q

What should a child with enuresis do before bed?

A

empty their bladder

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3
Q

When should fluids be given and restricted with enuresis?

A

given during the day, restricted at night

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4
Q

What should be restricted after 4 pm with enuresis?

A
  • caffeine/carbonation
  • fruit/fruit drinks
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5
Q

What should a child with enuresis avoid?

A
  • diapers
  • punishing, scolding, teasing
  • holding in pee during the day
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6
Q

Should you wake up a child with enuresis during the night to go to the bathroom?

A

YES

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7
Q

What happens with urination with a UTI?

A
  • infants scream
  • children have pain
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8
Q

What causes frequent urination?

A

UTI

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9
Q

What should be encouraged when a child has a UTI?

A
  • frequent voiding
  • complete emptying of bladder
  • fluids
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10
Q

What is the plan of care for a UTI?

A
  • fluids
  • culture
  • antibiotics
  • mild analgesic (acetaminophen)
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11
Q

What are complications of UTI?

A
  • progressive kidney infection
  • urosepsis
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12
Q

Where is the urethral opening with hypospadias?

A

on the bottom of the penis

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13
Q

Where is the urethral opening with epispadias?

A

on the top of the penis

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14
Q

What is common with epispadias and hypospadias?

A

urinary retention

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15
Q

Why can’t an infant with hypospadias have a circumcision?

A

the foreskin is used for surgical repair within the 1st year of life

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16
Q

What does it look like if a female has epispadias?

A
  • wide urethra
  • bifold clitoris
  • possible exstrophy of the bladder
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17
Q

When is surgery done for epispadias?

A

within the first year of life

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18
Q

What is important to monitor for with hypospadias?

A

UTI

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19
Q

What is important to monitor for with epidpadias?

A

infection

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20
Q

Where is edema seen with nephrotic syndrome?

A
  • facial and periorbital
  • lower extremities
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21
Q

What does the urine look like with nephrotic syndrome?

A

frothy

22
Q

What does a urinalysis show with nephrotic syndrome?

A
  • proteinuria
  • hyaline casts
  • few RBC’s
  • oval fat bodies
23
Q

What labs are abnormal with nephrotic syndrome?

A
  • BUN/creatinine: increased
  • albumin: decreased
  • cholesterol: increased
  • H&H: increased
  • PLT: increased
  • sodium: possibly decreased
24
Q

What should be restricted with nephrotic syndrome?

A

sodium/salt

25
Q

How can infection be prevented with nephrotic syndrome?

A

TCDB

26
Q

What should be measured daily with nephrotic syndrome?

A
  • I&O
  • abdominal girth
  • edema
27
Q

When should prednisone be given?

A
  • nephrotic syndrome
  • with meals
28
Q

What needs to be increased when taking furosemide?

A

foods with potassium

29
Q

What medication for nephrotic syndrome decreases edema?

A

IV albumin followed by furosemide

30
Q

What is given if the child cannot tolerate prednisone?

A

cyclophosphamide

31
Q

What can be a big sign of acute glomerulonephritis?

A

a recent upper respiratory or streptococcal infection

32
Q

What does the urine look like with acute glomerulonephritis?

A
  • cloudy
  • tea-colored
33
Q

When is facial edema worse with acute glomerulonephritis?

A

in the morning

34
Q

Where does edema spread to during the day with acute glomerulonephritis?

A

the extremities and abdomen

35
Q

Is mild to severe HTN normal with acute glomerulonephritis?

A

YES

36
Q

What does a urinalysis show with acute glomerulonephritis?

A

protein and blood

37
Q

What might be restricted with acute glomerulonephritis?

A
  • fluid and sodium
  • if experiencing oliguria, potassium
38
Q

What type of meals should a patient with acute glomerulonephritis have?

A

small, frequent meals of favorite foods

39
Q

What should you monitor with acute glomerulonephritis?

A
  • I&O
  • VS
  • daily weights
  • neuro status
  • behavior changes
  • skin breakdown
40
Q

What is important to manage during HTN and edema with acute glomerulonephritis?

A

fluid restriction

41
Q

What precautions may be necessary with acute glomerulonephritis?

A

seizure

42
Q

What medications are used for acute glomerulonephritis?

A
  • diuretics
  • anti-HTN
43
Q

What does hemolytic uremic syndrome consist of?

A
  • acute renal failure
  • hemolytic anemia
  • thrombocytopenia
44
Q

What bleeding manifestations occur with hemolytic uremic syndrome?

A
  • bruising
  • purpura
  • rectal bleeding
  • hematuria
  • decreased H&H
45
Q

What can be present in the diarrhea with hemolytic uremic syndrome?

A

E. coli

46
Q

What should be avoided with hemolytic uremic syndrome?

A
  • undercooked meat
  • unpasteurized apple juice
  • unwashed raw veggies
  • public pools
  • antimotility meds
47
Q

When is hemodialysis or peritoneal dialysis used with hemolytic uremic syndrome?

A
  • anuria for 24 hours
  • oliguria with uremia
  • HTN
  • seizures
48
Q

When would blood transfusions be used for hemolytic uremic syndrome?

A
  • fluid replacement
  • severe anemia
49
Q

What should be done once V/D stops with hemolytic uremic syndrome?

A

enteral feedings

50
Q

What does discharge look like with vulvovaginitis?

A
  • thick
  • white
  • possible fish smell
51
Q

What medication should be used for vulvovaginitis?

A

metronidazole

52
Q

When should the client wear cotton underpants and avoid douching/powders?

A

vulvovaginitis

Level 3 (29 decks)

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