A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?
Suspected autism spectrum disorder
Diagnosis of hypospadias
History of spina bifida
Previous cleft palate repair
The Correct Answer is C
A. Autism spectrum disorder is not directly associated with an increased risk for latex allergies.
B. Hypospadias may be linked to other congenital issues but is not commonly associated with latex allergies.
C. Children with a history of spina bifida are at higher risk for a latex allergy due to repeated exposure to latex-containing medical products.
D. Previous cleft palate repair is not a known risk factor for latex allergies.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
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.
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.
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