A 5-year-old is discharged from the hospital following the diagnosis of hemolytic uremic syndrome (HUS). The child has been free of diarrhea for 1 week and renal function has returned. The parent asks when the child can return to school. Which is the nurse’s best response?

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Genitourinary Assessment in Pediatrics Questions

Question 1 of 5

A 5-year-old is discharged from the hospital following the diagnosis of hemolytic uremic syndrome (HUS). The child has been free of diarrhea for 1 week and renal function has returned. The parent asks when the child can return to school. Which is the nurse’s best response?

A. Immediately, as your child is no longer contagious. B. It would be best to keep your child home for a few more weeks because the immune system is weak and there could be a relapse of HUS. C. Your child will be contagious for approximately another 10 days, so it is best not to allow a return just yet. D. It would be best to keep your child home to monitor urinary output.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A teen wakes up complaining of intense pain and swelling of the scrotal area with abdominal pain and has vomited twice. Which should the nurse suggest?

A. Encourage clear liquids until vomiting subsides; if worse, bring him to the ER. B. Bring him to the pediatrician’s office for evaluation. C. Take him to the emergency room immediately. D. Encourage rest and ice application, and go to the ER if pain does not improve.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

One week after kidney transplant, a child complains of abdominal pain, is very irritable, has gained 10% of body weight, and has elevated BUN and creatinine levels. Which medication is most likely being taken?

A. Codeine tablets. B. Furosemide. C. MiraLAX powder. D. Corticosteroids.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A child who has had a kidney removed will experience pain due to which of the following?

A. Laparoscopic removal with residual air causing discomfort. B. Post-operative shift of fluids and organs in the abdominal cavity. C. Chemotherapy-induced pain sensitivity. D. Radiation-induced pain sensitivity.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A 12-year-old receiving peritoneal dialysis has cloudy return fluid and abdominal pain. The parents ask what the next step will likely be.

A. We will likely add antibiotics to the dialysis fluid at the next dwell to treat peritonitis. B. Cloudy returns are common and not concerning. C. We will give your child oral antibiotics as a precaution. D. We will increase the rate of fluid administration to relieve the pain.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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