PEDS EXAM 4 COMPREHENSIVE
EXAMINATION TEST COMPLETE
QUESTIONS AND CORRECT ANSWERS
STUDY GUIDE
●● Urinalysis vs. urine culture
Answer: -Urinalysis: tests for positive nitrates and leukocytes, which
indicates infection
- Urine culture: checks for specific organism and antibiotic sensitivities
●● voiding cystourethrogram (VCUG)
Answer: observes the flow of urine during urination (may see urine
backflowing, which is leading to the infection)
●● Enuresis and treatment
Answer: - Incontinence past the age of toilet training
- Assess for asymptomatic UTI
- Fluid restriction
- Bladder exercises
- Timed voiding
- Enuresis alarms
- Antidiuretic hormones
, - Tricyclic antidepressants
- Anticholinergics
●● Constipation and treatment
Answer: - Constipation increases risk for voiding dysfunction and UTI
because the bladder cannot empty when constipated
- Increased intake of fruit and fiber
- Increase water and fluid intake
- Prune juice if no bowel movement in 2 days
- Osmotic laxative if necessary and approved by provider
●● Acute post streptococcal glomerulonephritis (s/sx)
Answer: - inflammation of the glomeruli following exposure to group A
beta hemolytic step
- latency period of 1-2 weeks before symptoms appear
- Gross hematuria (appears smoky)
- Proteinuria
- Edema
- Hypertension
*Important to maintain BP and fluid volume status
●● Nephrotic syndrome s/sx
EXAMINATION TEST COMPLETE
QUESTIONS AND CORRECT ANSWERS
STUDY GUIDE
●● Urinalysis vs. urine culture
Answer: -Urinalysis: tests for positive nitrates and leukocytes, which
indicates infection
- Urine culture: checks for specific organism and antibiotic sensitivities
●● voiding cystourethrogram (VCUG)
Answer: observes the flow of urine during urination (may see urine
backflowing, which is leading to the infection)
●● Enuresis and treatment
Answer: - Incontinence past the age of toilet training
- Assess for asymptomatic UTI
- Fluid restriction
- Bladder exercises
- Timed voiding
- Enuresis alarms
- Antidiuretic hormones
, - Tricyclic antidepressants
- Anticholinergics
●● Constipation and treatment
Answer: - Constipation increases risk for voiding dysfunction and UTI
because the bladder cannot empty when constipated
- Increased intake of fruit and fiber
- Increase water and fluid intake
- Prune juice if no bowel movement in 2 days
- Osmotic laxative if necessary and approved by provider
●● Acute post streptococcal glomerulonephritis (s/sx)
Answer: - inflammation of the glomeruli following exposure to group A
beta hemolytic step
- latency period of 1-2 weeks before symptoms appear
- Gross hematuria (appears smoky)
- Proteinuria
- Edema
- Hypertension
*Important to maintain BP and fluid volume status
●● Nephrotic syndrome s/sx
