QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

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

Answer Choices:

Rationale:

🩺 A. Pyelonephritis

✔️ The child has a history of vesicoureteral reflux (VUR), a condition where urine flows backward from the bladder to the kidneys.

✔️ VUR greatly increases the risk of upper urinary tract infections, especially pyelonephritis, due to bacterial migration from the bladder to the kidneys.

✔️ Clinical signs such as fever for 2 days, lethargy, irritability, decreased appetite, and positive urinalysis (WBCs, nitrites, leukocyte esterase) suggest acute pyelonephritis.

✔️ In infants and toddlers, symptoms are often nonspecific but fever and abnormal urinalysis are red flags for renal involvement.

🩺 B. Renal Scarring

✔️ Repeated UTIs in the presence of VUR can lead to permanent renal damage, known as renal scarring.

✔️ Renal scarring results from chronic inflammation and infection of the renal parenchyma and is a long-term complication of pyelonephritis.

✔️ Renal scarring is associated with hypertension, decreased renal function, and increased risk of chronic kidney disease later in life.

✔️ Early diagnosis and treatment of pyelonephritis are crucial to minimize long-term renal damage.

Want to practice more questions like this?

This question is from RN ATI Pediatric Nursing~2023 C which contains 75 questions.

Start Full Exam View Exam Details
More Questions from This Exam
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

Answer Choices:

A. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle.
B. Your child should ride the bicycle against the flow of traffic.
C. Your child should walk the bicycle through intersections.
D. Your child should keep the bicycle at least 3 feet from the curb while riding in the street.
View Full Question
Which of the following best describes the purpose of obtaining consent?

Answer Choices:

A. To ensure the patient understands the risks.
B. To obtain permission from the patient’s family for treatment.
C. To protect the nurse from legal liability.
D. To allow the healthcare provider to proceed with treatment without patient input.
View Full Question
 The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students. Which of the following demonstrates the use of therapeutic communication techniques?

Answer Choices:

A. I understand how you feel; the same thing happened to my friend last year.
B. Please show me how you give yourself insulin.
C. You will be okay.
D. Don’t worry, we will take good care of you.
View Full Question
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?

Answer Choices:

A. Restrict the child’s strenuous activities for 3 days.
B. Use a hair dryer on a cool setting to relieve itching.
C. Monitor for pallor or swelling in the child’s affected hand.
D. Examine the child for skin irritation at the cast edges.
View Full Question
A nurse is caring for a client. Which action demonstrates effective collaboration?

Answer Choices:

A. Performing the dressing change independently.
B. Seeking guidance from the wound care nurse.
C. Asking another nurse to complete the dressing change.
D. Consulting only the client’s family for assistance.
View Full Question
View All 75 Questions
From Exam
RN ATI Pediatric Nursing~2023 C

75 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Pediatrics
  • Answer Choices: 0
Was this question helpful?
0/5 average rating (0 votes)
Share your thoughts
Comments (0)
Q