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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.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

A.    While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis. 
B.    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. 
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.    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. 
E.    Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.   
 


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Related Questions

Correct Answer is D

Explanation

A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.

Correct Answer is B

Explanation

A. Resistant to routines: While toddlers can be resistant to routines, this is not a defining characteristic of typical toddler behavior. Resistance to routines can occur at various stages of childhood and is often influenced by individual temperament and environmental factors.

B. Frequent negative responses: Toddlers are known for their frequent negative responses, often referred to as the "terrible twos." This behavior is a normal part of their development as they assert their independence and test boundaries. It is a way for them to express their growing sense of self and autonomy.

C. Less emotionally labile: Toddlers are actually more emotionally labile, meaning they experience rapid and intense emotional changes. They are still learning to regulate their emotions, so mood swings and emotional outbursts are common at this age.

D. Increased dependency: While toddlers do seek comfort and reassurance from their caregivers, they are also striving for independence. Increased dependency is not typical; instead, they often exhibit behaviors that show their desire to do things on their own and explore their environment.

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