ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Medical History (0930): Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux; Vital Signs (0930): Heart rate: 128/min, Temperature: 38.4°C (101.1°F), Respiratory rate: 28/min; Nurse's Notes (0930): Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hours. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter; Diagnostic Results (1030): Urinalysis: Leukocyte esterase: positive (negative), Specific gravity: 1.035 (1.005 to 1.030), Appearance: cloudy and dark amber (clear), Nitrites: present (none), WBCs: 10 (0 to 4); Provider Prescriptions (0945): Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter; A nurse in a provider's office is caring for a 1-year-old toddler.
Question 1 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale: The correct answer is A and C. Pyelonephritis is a bacterial infection of the kidneys, common in children with underlying urinary tract abnormalities, putting them at risk. Renal scarring can result from untreated or recurrent pyelonephritis, leading to long-term kidney damage.
Choices B, D, and E are not directly related to the initial risk factors mentioned in the question.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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