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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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Correct Answer is A

Explanation

a) Prepare a warmer: Infants born with omphalocele defects require careful temperature regulation due to potential heat loss through the exposed abdominal contents. Using a warmer helps maintain the infant's body temperature.

b) Prepare a crib: While necessary for the infant, temperature regulation is a more immediate concern.

c) Prepare a feeding of formula: Feeding might be necessary but is not the most urgent need for an infant with an omphalocele.

d) Prepare the bilirubin light: Bilirubin lights are used for treating jaundice, which might not be an immediate concern for an infant with an omphalocele defect.

A. The younger child’s airways are smaller and more easily occluded B. You are incorrect in your assessment C. Air passages are more likely to become blocked with mucus due to increased mucus production in young children D. Infants are not able to breathe deeply

Correct Answer is A

Explanation

a) The younger child’s airways are smaller and more easily occluded: Children, especially infants, have smaller airways, making them more susceptible to blockage during infections.

b) You are incorrect in your assessment: This response dismisses the mother's concern without providing information.

c) Air passages are more likely to become blocked with mucus due to increased mucus production in young children: While increased mucus production can be a factor, the size of airways is a more critical consideration.

d) Infants are not able to breathe deeply: Not an accurate statement; infants have a different breathing pattern but can breathe adequately.

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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

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