Which of the following is a risk factor for acute glomerulonephritis?

A. Pyloric stenosis involves obstruction at the outlet of the stomach and is not related to the large intestine.
B. Encopresis refers to bowel incontinence and is not typically associated with mechanical obstruction of the large intestine.
C. Hirschsprung's disease, characterized by the absence of ganglion cells in the large intestine, results in decreased motility and mechanical obstruction, leading to megacolon.
D. Enterocolitis is inflammation of the intestines and can be a complication of Hirschsprung's disease but is not the primary disorder causing mechanical obstruction.

A. Administering a laxative would not be appropriate in this scenario because the client is presenting with symptoms suggestive of an acute abdomen, which could be indicative of a serious condition like appendicitis. Laxatives could potentially worsen the condition or mask important symptoms.
B. Administering enemas until clear is not indicated in this situation. It could potentially delay appropriate diagnosis and treatment of the underlying cause of the client's symptoms, such as appendicitis. Additionally, enemas may be contraindicated if there is suspicion of bowel obstruction or perforation.
C. Given the symptoms of right lower quadrant abdominal pain, nausea, and vomiting, along with the elevated WBC count and C-Reactive Protein level, maintaining NPO (nothing by mouth) status is appropriate to rest the bowel and prevent potential exacerbation of symptoms.
D. Acetaminophen will help alleviate the client’s pain, while preparing them for an appendectomy.
E. The client's presentation with right lower quadrant abdominal pain, along with the elevated WBC count, warrants further investigation to rule out appendicitis. An abdominal ultrasound can help confirm the diagnosis and guide further management.
F. With the clinical suspicion of appendicitis supported by the elevated WBC count, initiation of IV antibiotics is indicated to treat possible infection and prevent complications associated with appendicitis, such as perforation or abscess formation.