ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 26 : The Child with Genitourinary Dysfunction Questions
Question 1 of 5
What name is given to inflammation of the bladder?
Correct Answer: A
Rationale: Cystitis is inflammation of the bladder, often due to infection. Urethritis affects the urethra, urosepsis is a systemic infection from the urinary tract, and bacteriuria indicates bacteria in urine without necessarily implying inflammation.
Question 2 of 5
The nurse is teaching a client to prevent future urinary tract infections (UTIs). What factor is most important to emphasize as the potential cause?
Correct Answer: C
Rationale: Urinary stasis is the primary host factor promoting UTIs by providing a bacterial growth medium. Poor hygiene and constipation contribute by facilitating bacterial entry or causing stasis via rectal pressure, but stasis is the key driver. Congenital anomalies are less common causes.
Question 3 of 5
A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence three times in the past 2 days. The nurse should recommend to her parent that the first action is to have the child evaluated for what condition?
Correct Answer: C
Rationale: Incontinence in a toilet-trained 5½-year-old girl suggests a UTI, common in this age group. UTI evaluation precedes psychosocial causes like school phobia or ADHD, and glomerulonephritis typically presents with reduced urine output and fluid retention, not incontinence.
Question 4 of 5
What recommendation should the nurse make to prevent urinary tract infections (UTIs) in young girls?
Correct Answer: D
Rationale: Adequate fluid intake (e.g., 2 L/day for a 5-6-year-old) minimizes urinary stasis, reducing UTI risk. Public toilets and long baths aren?t directly linked to UTIs, and perineal cleansing with water lacks evidence as a primary preventive measure.
Question 5 of 5
In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information?
Correct Answer: C
Rationale: VUR has a 36% incidence in siblings, necessitating screening to detect and prevent scarring. Fluid restriction is not advised, cranberry juice lacks proven efficacy in children, and surgery may be needed for severe VUR but doesn?t reverse existing scarring.