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A nurse in a provider's office is caring for a 1-year-old toddler.

Exhibits

select words from the choices below to fill in each blank in the following sentence.

The child is at risk for developing

and

Answer and Explanation

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

Answer: Renal scarring and pyelonephritis

Rationale:

The child in this scenario is presenting with symptoms consistent with a urinary tract infection (UTI), which has been a recurring issue for the child due to the history of vesicoureteral reflux (VUR). VUR increases the risk of pyelonephritis, a type of kidney infection, because it allows urine to flow back into the kidneys, potentially leading to infection.

Pyelonephritis is the term used to describe a kidney infection, which can develop from untreated or recurrent UTIs.

Renal scarring is a long-term consequence of recurrent UTIs, especially in the context of VUR. The chronic infections can lead to scarring of the kidney tissue, potentially causing long-term kidney damage or dysfunction.

Acute glomerulonephritis and nephrotic syndrome are not as closely linked to this case. While both involve kidney issues, they do not typically result from recurrent UTIs or VUR in the same direct way.

Polycystic kidney disease is a genetic condition that typically does not relate to recurrent UTIs or VUR in young children.


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Related Questions

Correct Answer is B

Explanation

A. Decreased appetite is more likely to occur with hyperglycemia (high blood sugar), not hypoglycemia.

B. Shakiness is a common sign of hypoglycemia (low blood sugar), which can occur in children with diabetes. Immediate action is required to treat hypoglycemia.

C. Increased capillary refill is a sign of improved circulation, which is not associated with hypoglycemia.

D. Thirst is typically a sign of hyperglycemia, not hypoglycemia.

Correct Answer is C

Explanation

A. Dextrose 5% in water (D5W) should not be used with packed RBCs because it can cause hemolysis (destruction of red blood cells).

B. Filtered IV tubing is preferred for blood transfusions to catch any blood clots and debris, and non-filtered tubing increases the risk of complications.

C. The standard guideline for transfusing red blood cells (RBCs) is to infuse each unit within 4 hours to minimize the risk of bacterial growth in the blood. Blood should not be left at room temperature for prolonged periods.

D. The second unit of blood should not be stored at room temperature for more than 30 minutes, as it may cause bacterial growth.

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