ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 26 : The Child with Genitourinary Dysfunction Questions
Question 1 of 5
The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurses reply?
Correct Answer: C
Rationale: Frequent blood pressure monitoring is critical in acute glomerulonephritis to detect acute hypertension, which requires aggressive management to prevent renal damage. Antibiotics aren?t typically used, hypotension is not a primary concern, and fluctuations don?t indicate chronicity.
Question 2 of 5
What laboratory finding, in conjunction with the presenting symptoms, indicates minimal change nephrotic syndrome?
Correct Answer: D
Rationale: Reduced serum albumin, due to significant proteinuria, is a hallmark of minimal change nephrotic syndrome (MCNS). Specific gravity is high due to protein loss, hemoglobin is normal or elevated, and platelet counts are elevated from hemoconcentration, not normal.
Question 3 of 5
What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?
Correct Answer: C
Rationale: The primary goal in MCNS is to minimize urinary protein excretion, reducing edema and complications. Blood pressure is typically normal, serum protein levels need to increase, and fluid retention (edema) is a problem to be reduced, not increased.
Question 4 of 5
A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for this child?
Correct Answer: C
Rationale: High-dose prednisone causes immunosuppression, making infection prevention a priority in MCNS. Appetite is naturally increased by steroids, edema monitoring is part of disease management, and antibiotics are not used prophylactically in this condition.
Question 5 of 5
The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?
Correct Answer: C
Rationale: Restricting fluids and sodium during severe edema in MCNS helps manage fluid retention. A regular diet isn?t advised, high protein doesn?t alter disease course, and adequate calories are needed for growth, despite appetite challenges.