A nurse in a provider's office is caring for a 1-year-old toddler.
The child is at risk for developing
Drag words from the choices below to fill in each blank in the following sentence.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rotavirus vaccination is typically administered in infancy, not at 5 years of age.
B. The second dose of varicella vaccine is usually given at 4-6 years of age.
C. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age.
D. Hepatitis B vaccination typically starts at birth and is completed in infancy.
Correct Answer is C
Explanation
Correct Answer: C Rationale:
A. Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition.
B. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock.
C. A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines.
D. Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.
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