A nurse in a provider's office is caring for a 1-year-old toddler.
select words from the choices below to fill in each blank in the following sentence.
The child is at risk for developing
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is not the site where kolpik spots are located.
B. This is not the site where kolpik spots are located.
C. Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are very helpful for diagnosing measles, especially when other diseases have similar symptoms.
D. This is not the site where kolpik spots are located.
Correct Answer is A
Explanation
A. Prednisolone, a corticosteroid, can impair immune function and delay wound healing, making it essential for the nurse to monitor for signs of infection or delayed healing.
B. Prednisolone typically causes hypertension, not hypotension, as a side effect.
C. Stevens-Johnson syndrome is a rare, severe skin reaction typically associated with specific medications, not corticosteroids.
D. Prednisolone is not commonly associated with renal failure. While it may have effects on fluid retention, kidney function is generally not severely impacted by short-term use.
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