ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
An 8-year-old boy with sudden onset of abdominal pain and reddish-brown urine, urinalysis shows 4+ protein, history of strep throat a little over a week ago, Temp 100.6F, RR-22, HR-105, BP=130/89
Question 1 of 5
An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22, HR-105, BP=130/89. Which condition should the nurse suspect?
Correct Answer: A
Rationale: The correct condition to suspect is A: Acute glomerulonephritis. The key indicators supporting this diagnosis are the sudden onset of abdominal pain, reddish-brown urine (indicative of hematuria), and 4+ protein in the urinalysis. The history of recent strep throat is crucial, as acute poststreptococcal glomerulonephritis commonly follows streptococcal infections. The assessment findings, such as elevated temperature, tachycardia, and hypertension, are also consistent with acute glomerulonephritis due to the inflammatory response affecting the glomeruli in the kidneys.
Other choices are incorrect:
B: Renal agenesis is a congenital condition where one or both kidneys fail to develop. This is not supported by the symptoms presented.
C: Nephrotic syndrome typically presents with massive proteinuria, edema, and hypoalbuminemia, which are not prominent in this case.
D:
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