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NR 602 Week 7: Juliana Mirabelles' Pain with Urination 2024 Solutions - 100% Verified

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NR 602 Week 7: Juliana Mirabelles' Pain with Urination 2024 Solutions - 100% Verified

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NR 602 Week 7: Juliana
Mirabelles' Pain with
Urination 2024 Solutions -
100% Verified

,A 3yearold child has just completed a 7day course of amoxicillin for a second febrile urinary tract
infection and currently has a negative urine culture. What is the next course of action?

Obtain a renal and bladder ultrasound.




Goal of fluid replacement:

Providing maintenance

Replenish prior losses

Replace persisting losses.

Goal of TBW: 50-75% of total body mass.




What is Wilms Tumor (Nephroblastoma):

A malignancy of urogenital tract. Presents as abdominal mass with or without associated abdominal pain
or hematuria.




According to the American Academy of Pediatrics (AAP) recommendations, what age should urinalysis
screening begin in asymptomatic children and how often should it be performed?



The AAP does not recommend screening urinalysis for asymptomatic children.




Which of the following would raise concerns for renal disease in a 2-year-old, asymptomatic child with
proteinuria or UA?

, Hypertension




The FNP is performing a well child exam on a 4monthold infant who is nursing exclusively. The mother
reports that the infant has had a marked decrease in the number of stools each day, from 3 to 5 stools
each day to only one stool every other day. How will the nurse practitioner respond?

Ask the mother to describe the color and consistency of the stools




The FNP is performing a well child exam on a 12monthold infant. The parent tells the nurse practitioner
that the infant has predictable bowel and bladder habits and asks about toilet training. What will the
nurse practitioner tell this parent?

Placing the child on a “potty” chair helps the child associate elimination cues with the toilet.




The FNP is performing a well child exam on a 24monthold child. The parent tells the nurse practitioner
that the child is being toilet trained and expresses frustration that on some days the child uses the toilet
every time and on other days not at all. What will the nurse practitioner do?

Ask the parent about the child’s toilet habits and understanding of toilet training.




The FNP is discussing toileting issues with the parent of a 3yearold toddler who reports that the child
has been toilet trained for several months but has recently been refusing to have bowel movements and
is becoming constipated. What will the nurse practitioner do?

Ask the parent about bathroom facilities in the child’s day care.

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