ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
An 8-year-old boy with sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. History of strep throat a little over a week ago. Assessment findings: 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. This condition presents with sudden onset abdominal pain, reddish-brown urine (hematuria), and proteinuria, as seen in the urinalysis with 4+ protein. The history of recent strep throat suggests post-streptococcal glomerulonephritis, a common cause in children. The elevated temperature, heart rate, and blood pressure are indicative of inflammation and volume overload, common in acute glomerulonephritis. Renal agenesis (
B) is a congenital condition where one or both kidneys fail to develop, not consistent with the presentation. Nephrotic syndrome (
C) typically presents with heavy proteinuria but without hematuria or abdominal pain. Polycystic kidney disease (
D) is a genetic disorder presenting with kidney cysts, not acute symptoms like in this case.
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