A nurse is analyzing the results from a 6 year-old child's voiding cystourethrograrn. which indicates there is a significant amount of urinary reflux. Which Of the following recurrent medical conditions should the nurse identify as being an increased risk for this client to develop? (Select All that Apply.)
Urethral obstruction
Upper urinary tract infections
Chronic kidney disease
Phimosis
Hydrocele
Correct Answer : B,C
A. Urethral obstruction – Incorrect. Vesicoureteral reflux (VUR) does not directly cause urethral obstruction, which is typically due to structural abnormalities.
B. Upper urinary tract infections – Correct. VUR increases the risk of recurrent pyelonephritis (upper UTI) due to retrograde urine flow.
C. Chronic kidney disease – Correct. Repeated kidney infections and scarring from VUR can lead to chronic kidney disease over time.
D. Phimosis – Incorrect. Phimosis (tight foreskin) is unrelated to VUR.
E. Hydrocele – Incorrect. Hydrocele involves fluid accumulation around the testicle and is not related to urinary reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Calculate the total volume to be infused: 150 mL/hr.
Convert hours to minutes: 1 hour = 60 minutes.
Calculate the flow rate in mL/min: 150 mL/hr / 60 min/hr = 2.5 mL/min.
Apply the drop factor: 2.5 mL/min * 20 gtt/mL = 50 gtt/min.
Correct Answer is ["A","C","E"]
Explanation
A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.
B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.
C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.
D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.
E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.
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