The nurse is caring for the child with renal insufficiency from impaired blood flow to the kidneys sustained during an MVA. Which assessment finding related to renal insufficiency should be reported immediately to the HCP?

The ED nurse is triaging a group of pediatric clients. Which child should the nurse attend to first?

The nurse is developing a teaching plan for the pediatric client and the child’s parents for home peritoneal dialysis (PD). Which statement should the nurse omit from the teaching plan?

The nurse caring for the hospitalized school-aged child writes a nursing problem of Altered urinary elimination in the child’s plan of care. Which outcome is best for the nurse to include?

The parent of the child recently diagnosed with acute poststreptocoecal glomerulonephritis (APSGN) is concerned about the usual prognosis. The new nurse instructs the parent on the prognosis of APS GN. Which statement did the new nurse make in error?

The nurse is preparing to administer an analgesic for short-term mild pain to the child who has a history of acute renal insufficiency. Which medication should the nurse select from the list of options from the HCP’s symptom control protocol?

The pediatric client requires clean intermittent catheterization while at home. Which early signs of infection should the nurse teach the parents to report immediately?

The nurse is caring for the child going home with an indwelling urinary catheter. Which important component should the nurse include in the discharge instructions?

The adolescent with a history of a renal transplant has not been taking medications as pre- scribed. The result has been loss of the kidney. The multidisciplinary team, which includes the nurse, is considering whether the client should receive a second transplant. What should be the next. Course of action?

The child is hospitalized following renal trauma. The nurse should assess for signs of which complication first?

The nurse is caring for multiple clients preparing for placement of an external diversional urinary system. Which client has the greatest need for interventions to promote a positive body image?

The toilet-trained child presents with incontinence, strong-smelling urine, frequency, and urgency. What laboratory specimen should the nurse collect first?

The nurse is caring for the pediatric client with nephrotic syndrome. Which medication should the nurse anticipate administering to treat nephritic syndrome?

The nurse is preparing the adolescent female client for a renal/bladder ultrasound. Which explanation is most appropriate?

The child with ARF has not had a stool for a week. The resident physician prescribes a sodium biplrosplrate and sodium phosphate enema. What should the nurse do?

The nurse is educating the parent of the male infant with phirnosis. Which statement should the nurse include in teaching?

The pediatric client with CKD has elevations in serum creatinine and BUN. The nurse interprets this to mean that the child has a reduction in which component?

The Somali parents bring their 1-year-old child to the ER of a large urban hospital. The child is lethargic and has bloody urine and blood seeping through a diaper. The child’s parents do not speak English. Which intervention should the nurse implement first?

The nurse is educating the parent of the child with vesicoureteral reflux. The therapeutic use of which treatment is important to include in the teaching?

The nurse is catheterizing the female adolescent who has nephrosis- In performing this procedure, the nurse uses the nondominant hand to gently separate then pull up the labia minora to see the meatus. What should the nurse do next with the nondominant hand?

While caring for the 4-year—old with CRF, the nurse identifies a potential problem of Risk for interrupted family processes. The nurse evaluates that this risk is diminished when which observation is made?

The 5-year—old with periorbital edema, anorexia, decreased urine output, and passage of colacolored urine is brought to the ED by the parent. Which history information reported by the child’s parent is most important to report to the HCP?

The 5-year—old who received a kidney transplant is receiving cyclosporine. Which laboratory finding should the nurse recognize as indicating that the treatment is having an adverse effect?

The 6-year—old with fever and painful urination is brought to the clinic by the parent. Which finding on UA completed that morning is most important for the nurse to report to the health care provider?

The nurse is taking a history of the 9-month-old. Which finding is most important for the nurse to report to the HCP for further follow-up?

The nurse is preparing the peritoneal dialysis treatment for the 10-year—old. To promote a sense of control, what should the nurse allow the child to do?

The adolescent who had a T10 complete SCI reports leaking of urine at fairly regular intervals. The nurse should plan interventions for which type of incontinence?

The nurse is caring for multiple clients. Which client would be most appropriate for the nurse to plan to instruct on the use of intermittent self- urinary catheterization?

The ED nurse is triaging four children. Which child should be the nurse’s priority?

The nurse is teaching the hospitalized adolescent about collecting a 24—hour urine sample. The adolescent voids, and the nurse discards the void. The adolescent saves all the urine voided in the subsequent 24 hours, and the urine is poured in a collection container that is placed on ice. On the twenty-fourth hour after collection begins, the client voids. What should the nurse do regarding this urine?

The nurse is reviewing the medical record of the school-aged child with AGN and finds that the child has proteinuria on UA and an elevated serum BUN, creatinine, and uric acid levels. The child has had an elevated BP and low urine output for 24 hours. What should the nurse do first?

The nurse is educating the parents of the pediatric client with recurrent UTIs about perineal hygiene. The nurse’s rationale for including this component is that 80% of cases of UTI are caused by which bacteria?

The nurse is analyzing laboratory values for hospitalized children. If the glomerular filtration and absorption rates were in the normal range. the nurse should expect which children to have their GFR values furthest from the annual adult range of 90—120 ml /min/ 1 .73 m2?