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A nurse in a provider's office is caring for a 1-year-old toddler.

Exhibits

select words from the choices below to fill in each blank in the following sentence.

The child is at risk for developing

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Answer: Renal scarring and pyelonephritis

Rationale:

The child in this scenario is presenting with symptoms consistent with a urinary tract infection (UTI), which has been a recurring issue for the child due to the history of vesicoureteral reflux (VUR). VUR increases the risk of pyelonephritis, a type of kidney infection, because it allows urine to flow back into the kidneys, potentially leading to infection.

Pyelonephritis is the term used to describe a kidney infection, which can develop from untreated or recurrent UTIs.

Renal scarring is a long-term consequence of recurrent UTIs, especially in the context of VUR. The chronic infections can lead to scarring of the kidney tissue, potentially causing long-term kidney damage or dysfunction.

Acute glomerulonephritis and nephrotic syndrome are not as closely linked to this case. While both involve kidney issues, they do not typically result from recurrent UTIs or VUR in the same direct way.

Polycystic kidney disease is a genetic condition that typically does not relate to recurrent UTIs or VUR in young children.


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Related Questions

Correct Answer is D

Explanation

A. Going to the bathroom when the alarm goes off may indicate that the child is not yet fully trained to respond to the bladder's signal and the therapy is not as effective.

B. Drinking less fluid is not a recommended strategy for managing enuresis and can lead to dehydration.

C. Kegel exercises can help with pelvic muscle strength but are not the primary method of conditioning therapy for enuresis.

D. The purpose of conditioning therapy for enuresis (such as the use of an alarm) is to help the child recognize when the bladder is full and respond appropriately by holding urine for longer periods. Holding urine for 15 minutes is an indication that the therapy is working.

Correct Answer is A

Explanation

A. Facial twitching could indicate a neurological problem, such as a seizure, which requires immediate attention in a child with sickle cell anemia, who is at increased risk for neurological complications.

B. Kyphosis is a chronic issue and not an acute concern in sickle cell anemia.

C. Constipation is common in children with sickle cell anemia, but it is not as urgent as facial twitching.

D. Enuresis (bedwetting) is a common issue for children with sickle cell anemia but is not as immediately concerning as facial twitching, which may suggest a more urgent issue.

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