ATI Nur 270 Pediatrics GI GU Exam | Nurselytic

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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


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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 answer is A: Acute glomerulonephritis. The key findings in this case are sudden onset abdominal pain, reddish-brown urine (indicative of hematuria), proteinuria, recent history of strep throat (post-streptococcal glomerulonephritis), and vital signs showing signs of inflammation (elevated temp, HR). Acute glomerulonephritis is an inflammatory condition of the glomeruli in the kidneys, commonly triggered by a preceding streptococcal infection. This leads to hematuria, proteinuria, and elevated blood pressure. Renal agenesis (
B) is a congenital absence of one or both kidneys, not consistent with the symptoms. Nephrotic syndrome (
C) presents with massive proteinuria, edema, and hypoalbuminemia, which are not the primary symptoms here. Polycystic kidney disease (
D) is a genetic disorder causing multiple cysts

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