ATI RN PEDIATRIC NURSING 2023 WITH NGN
A nurse in a provider's office is caring for a 1-year-old toddler.
Exhibits
The child is at risk for developing _________________ and ______________________.
Drag words from the choices below to fill in each blank in the following sentence.
Word Choices
A. Nephrotic syndrome
B. Renal Scarring
C. Polycystic kidney
D. Acute glomerulonephritis
E. Pyelonephritis
Explanation
A. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.
B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. The presence of fever and lethargy in the child, along with the history of decreased appetite, raises concerns for a urinary tract infection that could lead to renal scarring if left untreated.
C. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler.
D. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis.
E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. The fever and lethargy reported by the parent, along with the urine sample obtained, suggest a concern for pyelonephritis.
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