Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 44: The Child with a Genitourinary Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 44: The Child with a Genitourinary Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)? a. “I always wear cotton underwear.” b. “I really enjoy taking a bubble bath.” c. “I go to the bathroom every 3 to 4 hours.” d. “I drink four to six glasses of fluid every day.” ANS: B Bubble baths should be avoided because they tend to cause urethral irritation, which leads to UTI. It is desirable to wear cotton rather than nylon underwear. Nylon tends to hold in moisture and promote bacterial growth, whereas cotton absorbs moisture. Children should be encouraged to urinate at least four times a day. An adequate fluid intake prevents the buildup of bacteria in the bladder. PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF: p. 1009 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 2. The nurse assessing a child with acute post streptococcal glomerulonephritis should be alert for which finding? a. Increased urine output b. Hypotension c. Tea-colored urine d. Weight gain ANS: C Acute post streptococcal glomerulonephritis is characterized by hematuria, proteinuria, edema, and renal insufficiency. Tea-colored urine is an indication of hematuria. In acute post streptococcal glomerulonephritis, the urine output may be decreased. In acute post streptococcal glomerulonephritis blood pressure may be increased. Edema may be noted around the eyelids and ankles in patients with acute post streptococcal glomerulonephritis and can contribute to weight gain; however, weight gain is associated more with nephrotic syndrome. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 1016 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity