Medications
This medication can be used to help with bladder pain in a patient with a UTI
What is phenazopyridine (pyridium)?
Name a nursing intervention to help promote bladder emptying in a pediatric patient.
What is encouraging the parent and child to maintain adequate hydration, use a clock and chart to schedule regular voiding times (such as q2 hours), use positive reinforcement or a reward system to achieve goals for emptying bladder, teach clean intermittent catherization if needed?
This condition occurs when one or more testes fails to descend through the inguinal canal.
What is crytorchidism?
T or F: The most common urinary pathogen in UTIs is E. coli.
Frothy urine.
NS
Name a nursing intervention for a patient taking a loop diuretic (ie. furosemide).
A child with renal failure may have dietary restrictions and requirements. Name a recommendation that may be made.
What is encourage a diet low in sodium, potassium, phosphorus, increased calcium intake, encourage consumption of complex carbs/fruits/vegetables that are low in potassium, use additives for patients with CKD to achieve adequate caloric intake?
This type of urinary tract infection involves the urethra or the bladder.
What is cystitis?
T or F: Testicular torsion is commonly seen before the age of 10.
Hyperlipidemia occurs.
NS.
Name a medication used to help treat enuresis.
What is desmopressin, imipramine or oxybutinin?
[Desmopressin= antidiuretic hormone, imipramine=TCA, oxybutinin=anticholinergic]
Describe the double diapering technique used for patients with hypospadias/epispadias repair.
This kidney disease is characterized by thrombocytopenia, hemolytic anemia and acute renal failure.
What is hemolytic uremic syndrome (HUS)?
T or F: Acute glomerulonephritis is associated with massive proteinuria, hyperlipidemia and hyperproteinemia.
What is false? NS is associated with massive proteinuria, hyperlipidemia and hyperproteinemia.
Immunosuppressive therapy is used as treatment.
NS.
Name a nursing consideration for a patient taking prednisone/methylprednisone.
This a nursing intervention for a child with testicular torsion.
What is incision care, pain management, teaching about avoiding heavy lifting post-op x 4 weeks, strenuous activity x2 weeks, education on importance of TSE, provide psychological support regarding fertility being maintained if prompt intervention.
This syndrome involves increased glomerular basement membrane permeability.
What is nephrotic syndrome?
T or F: Females are more affected by bladder exstrophy than males.
What is true? (females more affected, Ratio 2:1)
Parents are instructed to monitor the patient's blood pressure at home.
GN.
What does epotein alfa do for patients who have chronic renal failure?
What is stimulates erythropoesis (production of red blood cells in the bone marrow)?
These are 3 RN interventions for a patient with bladder exstrophy.
What is cover with plastic wrap/sterile plastic to maintain moisture, keep supine, changed soiled diapers immediately, sponge bath, use protective barrier creams to prevent surround skin from breaking down, post op maintain alignment (avoid abduction of legs, pain management, monitor peripheral circulation, use fixator devices if ordered, administer antispasmodics, monitor UOP from ureteral drains, assess urine or blood draining from urethral meatus, review dressing/wound care with parents, educate parents on s/s of infection, etc.?
This kidney disorder involves an inflammatory response in the glomerulus leading to decreased capillary perfusion, decreased glomerular filtration and sodium and water retention.
What is glomerulonephritis?
T or F: Vesicoureteral reflux appears to have a genetic component.
What is true? Approximately 35% of siblings have VUR as well, 50% of children born to women with VUR have VUR. It is thought to be autosomal dominant.
Increased ASO levels.
GN. (Antistreptolysin O Titer (ASO) test is elevated in patients with a recent history of streptococcal infection).