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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

High fever

Nausea and vomiting

Abdominal pain

Abdominal distension

Costovertebral angle tenderness

Answer and Explanation

Correct Answer : A,B,C,E

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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Free Nursing Study Resources

Correct Answer is E,A,C,D,B

Explanation

1. Prepare for intubation

2. Notify the physician

3. Start an IV

4. Draw blood gasses

5. Take the child's vital signs

A. Ineffective tissue perfusion B. Risk for infection C. Risk for fluid volume deficit D. Ineffective thermoregulation

Correct Answer is B

Explanation

a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.

b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.

c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.

d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.

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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is E,A,C,D,B

Explanation

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

Correct Answer is B

Explanation

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