WVU NSG 320 Exam 4 Questions With Complete Solutions
What is included within the health history for GU?
-urination pattern, pain, odor, discharge, and blood
^urination pattern depends on the age of the child
^this includes diapers, how often they are peeing, and how often
they are wetting the bed
-nausea and vomiting
-edema and weight gain
^edema typically will show up around the eyes first
-poor growth
^poor growth occurs with long term disorders
^low set ears are associated with fetal anomalies
What is included during the inspection fo the GU?
-edema
-pruritus
-low set ears
-rashes
-displaced urethral openings
-adhesions
-enlargements
What are the three most important things to assess with the GU?
-blood pressure
,-weight
-I/Os
What are common laboratory and diagnostic tests for children
with GU issues?
-consideration collection of urine specimen
-urinalysis
-urine culture: straight cath them
-voiding cystourethrogram (VCUG): fill the bladder with
contrast and look for structural abnormalities
-renal ultrasound
-BUN (5-20 mg/dL)
-Creatinine (0.5-1.5 mg/dL)
-Albumin (3.5-5.5 mg/dL)
What are appropriate nursing diagnoses for children with GU
disorders?
-impaired urinary elimination
-fluid volume excess
-imbalanced nutrition
-activity intolerance
-urinary retention
What is enuresis?
incontinence of urine past the toilet training years
Toilet training begins when the child shows interest (usually 2 &
older)
,Nighttime dryness is not expected until age 5 and normal prior
to that
What is the etiology of enuresis?
-familial
-chronic constipation
What assessment findings are associated with enuresis?
-developmental level
-amount of fluid consumed in the evenings
When does night-time dryness become normal?
-after the age of 5
-if bedwetting occurs before the age of 5, it is not an abnormal
finding
What interventions can we perform for enuresis?
-conditioning/
retention control training, along with a waking schedule
-medication therapy
What kinds of medications can be used to help with enuresis?
Antidiuretic
-DVAP, nasal spray, vasopressin
-reduces nighttime urinary output
Anticholinergic
-Oxybutynin (Ditropan)
-decreases bladder contraction
, Tricyclic Antidepressants
-imipramine hydrochloride (Tofranil)
What education needs to occur with enuresis?
a lot of reassurance
What is a UTI?
-infection of the urinary tract
^may be upper or lower
^pyelonephritis is an upper UTI
^bladder infection is a lower UTI
-in infancy, males have a higher incidence
-after 1 year of age, girls have a higher incidence
What are risk factors associated with UTIs?
-urinary stasis
-decrease fluid intake
-constipation
-VUR
-tight fitting/wet clothes
-sex
What is the etiology of a UTI?
most common culprit is E. coli
What assessment findings are associated with a UTI?
-dependent on age of the child
What is included within the health history for GU?
-urination pattern, pain, odor, discharge, and blood
^urination pattern depends on the age of the child
^this includes diapers, how often they are peeing, and how often
they are wetting the bed
-nausea and vomiting
-edema and weight gain
^edema typically will show up around the eyes first
-poor growth
^poor growth occurs with long term disorders
^low set ears are associated with fetal anomalies
What is included during the inspection fo the GU?
-edema
-pruritus
-low set ears
-rashes
-displaced urethral openings
-adhesions
-enlargements
What are the three most important things to assess with the GU?
-blood pressure
,-weight
-I/Os
What are common laboratory and diagnostic tests for children
with GU issues?
-consideration collection of urine specimen
-urinalysis
-urine culture: straight cath them
-voiding cystourethrogram (VCUG): fill the bladder with
contrast and look for structural abnormalities
-renal ultrasound
-BUN (5-20 mg/dL)
-Creatinine (0.5-1.5 mg/dL)
-Albumin (3.5-5.5 mg/dL)
What are appropriate nursing diagnoses for children with GU
disorders?
-impaired urinary elimination
-fluid volume excess
-imbalanced nutrition
-activity intolerance
-urinary retention
What is enuresis?
incontinence of urine past the toilet training years
Toilet training begins when the child shows interest (usually 2 &
older)
,Nighttime dryness is not expected until age 5 and normal prior
to that
What is the etiology of enuresis?
-familial
-chronic constipation
What assessment findings are associated with enuresis?
-developmental level
-amount of fluid consumed in the evenings
When does night-time dryness become normal?
-after the age of 5
-if bedwetting occurs before the age of 5, it is not an abnormal
finding
What interventions can we perform for enuresis?
-conditioning/
retention control training, along with a waking schedule
-medication therapy
What kinds of medications can be used to help with enuresis?
Antidiuretic
-DVAP, nasal spray, vasopressin
-reduces nighttime urinary output
Anticholinergic
-Oxybutynin (Ditropan)
-decreases bladder contraction
, Tricyclic Antidepressants
-imipramine hydrochloride (Tofranil)
What education needs to occur with enuresis?
a lot of reassurance
What is a UTI?
-infection of the urinary tract
^may be upper or lower
^pyelonephritis is an upper UTI
^bladder infection is a lower UTI
-in infancy, males have a higher incidence
-after 1 year of age, girls have a higher incidence
What are risk factors associated with UTIs?
-urinary stasis
-decrease fluid intake
-constipation
-VUR
-tight fitting/wet clothes
-sex
What is the etiology of a UTI?
most common culprit is E. coli
What assessment findings are associated with a UTI?
-dependent on age of the child
