Urinary Elimination

Question 1

GFR in children

Answer 1

slower, less able to concentrate urine, increased risk for dehydration

Question 2

Kidneys in children

Answer 2

large in relation to child’s abdomen, less protection from ribs

Question 3

Assessment of GU system

Answer 3

hydration status, abnormal genitalia?, rashes?, auscultation of heart and lungs, BUN/creatinine labs

Question 4

Most common bacteria for UTIs?

Answer 4

E. coli

Question 5

Oxybutynin

Answer 5

relieve bladder spasms, turns urine orange

Question 6

Obstructive uropathy

Answer 6

obstruction in the urinary tract

Question 7

Is obstructive uropathy structural or acquired

Answer 7

structural

Question 8

Ureterocele

Answer 8

ureter swells into the bladder

Question 9

Complications of obstructive uropathy

Answer 9

recurrent UTIs, renal insufficiency, damage to kidneys

Question 10

s/s of obstructive uropathy

Answer 10

frequent UTIs, change in urinary patterns, fever, flank/abdominal pain, hematuria, urinary frequency/urgency, dysuria, elevated BP

Question 11

Palpation for what in obstructive uropathy

Answer 11

abdominal mass indicative of hydronephrotic kidneys

Question 12

Obstructive uropathy treatment

Answer 12

surgery specific to type of obstruction, removes obstruction and reimplants ureters

Question 13

What types of IV fluids to avoid after surgery to treat obstructive uropathy

Answer 13

KCl

Question 14

Hemolytic uremic syndrome

Answer 14

hemolytic anemia, thrombocytopenia, acute renal failure

Question 15

Is hemolytic uremic syndrome structural or acquired

Answer 15

acquired

Question 16

hemolytic anemia

Answer 16

low RBC from increased hemolysis

Question 17

What is hemolytic uremic syndrome often a result from

Answer 17

a diarrheal illness, often e. coli

Question 18

what are s/s caused by in hemolytic uremic syndrome

Answer 18

microthrombi and ischemic changes in ogans

Question 19

What to look for in health history for hemolytic uremic syndrome

Answer 19

ingestion of uncooked meat, visits to water park or petting zoo

Question 20

GI s/s of hemolytic uremic syndrome

Answer 20

watery diarrhea, cramping, vomiting, tenderness

Question 21

body system s/s of hemolytic uremic syndrome

Answer 21

pallor, toxic apperance, edema, oliguria, anuria, elevated bp, irritability, seizures, LOC, assess heart and lungs

Question 22

Is hemolytic uremic syndrome able to be treated

Answer 22

no, the progression of the syndrome cannot be stopped or reversed

Question 23

Goal of treatment for hemolytic uremic syndrome

Answer 23

ease symptoms, prevent complications

Question 24

What to focus on in treatment of hemolytic uremic syndrome

Answer 24

maintain fluid balance, correct HTN/acidosis/electrolyte abnormalities, replenish circulating RBCs

Question 25

What to monitor for with hemolytic uremic syndrome

Answer 25

bleeding, bp

Question 26

What type of precautions are used for hemolytic uremic syndrome

Answer 26

contact