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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

High fever

Nausea and vomiting

Abdominal pain

Abdominal distension

Costovertebral angle tenderness

Answer and Explanation

Correct Answer : A,B,C,E

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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Correct Answer is B

Explanation

a) Constipation: Not typically a primary symptom of cystic fibrosis.

b) Meconium ileus: Meconium ileus is a bowel obstruction that occurs shortly after birth due to abnormally thick meconium. It is a classic early sign of cystic fibrosis in newborns. Other symptoms such as failure to thrive, persistent cough, salty-tasting skin, and recurrent respiratory infections may also manifest later.

c) Rectal prolapse: Can be related to cystic fibrosis but is not as specific as other symptoms.

d) Steatorrhea stools: Frequent fatty stools are symptoms of the disease but not specific to cystic fibrosis.

A. Notify the physician B. Take the child’s vital signs C. Start an IV D. Draw blood gasses E. Prepare for intubation

Correct Answer is E,A,C,D,B

Explanation

1. Prepare for intubation

2. Notify the physician

3. Start an IV

4. Draw blood gasses

5. Take the child's vital signs

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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to the pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is most appropriate?

Correct Answer is B

Explanation

Correct Answer is E,A,C,D,B

Explanation

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