ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Nurses' 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 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 1 of 5
The child is at risk for developing __ and __.
Correct Answer: A,B
Rationale: The correct answer is A,B. A child with a urinary tract infection (UTI) is at risk for renal scarring (
A) due to the potential spread of infection to the kidneys. Renal scarring can lead to long-term kidney damage. Additionally, the child is at risk for developing pyelonephritis (
B), which is a severe kidney infection resulting from untreated or recurrent UTIs.
Choice C, acute glomerulonephritis, is typically caused by immune responses to infections, not UTIs. Nephrotic syndrome (
D) is a kidney disorder characterized by proteinuria and edema, not commonly associated with UTIs in children. Polycystic kidney disease (E) is a genetic condition that causes fluid-filled cysts in the kidneys, unrelated to UTIs.
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Question 2 of 5
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