Question

Chapter 43: Nursing Care of the Child with an Alteration in Urinary Elimination/Genitourinary Disorder:

1. Jon Allen, 14 months old, is admitted to the pediatric unit of the local children’s hospital for repair of his hypospadias. (Learning Objectives 1, 3, 4, 6, and 8)

A. What information should be gathered in the nursing assessment of Jon’s genitourinary system?

B. What would the nurse know to include in Jon’s postoperative management?

C. When planning postoperative and discharge teaching, what would the nurse know to include?

2. Cassandra Mitchell, 2 years old, is suspected of having hydronephrosis as a result of vesicoureteral reflux. (Learning Objectives 2, 3, and 4)

A. What would be important information to collect in the health history?

B. What diagnostic tests should the nurse expect to be ordered for Cassandra?

C. What nursing interventions might the nurse be expected to perform on Cassandra?

Answer 1

Question no 1)

Part a )

Assessment of a child with hypospadias or epispadias include the following:

Assessment should be done to check on the glans configuration ,meatal location, chordee and skin coverage of pen is

Pain if he is havin should be checked and painscake rating should be recorded

Check for any infection due to hypospadias

Nursing management for John post operative management

• John will have pain so analgesics should be given
• Skin integrity impaired is present so dressing should be done
• Difficult in urinary elimination can occur due to surgery so assistance is needed
• He will have anxiety about his body so Proper knowleddge should be imparted
• There is risk for infection so all procedures should be sterile

Question no 3

Teaching plan both pop and discharge

Plan on how to reduce pain

Teach that child will cry if he has pain

Give reassurence

Teach on how to give sterile dressing

Anxiety can be reduced by imparting knowledge

Measures to control infection

Teaching in importance of urinary Culture

These are the points to be included in teaching