(WK 4 NR 328 EX#2) THE CHILD WITH RENAL
DYSFUNCTION QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS
Which clinical manifestations are appropriate when an infant has a
suspected urinary tract infection (UTI)? Select all that apply.
1
Jaundice
2
Vomiting
3
Swelling of the face
4
Persistent diaper rash
5
Failure to gain weight Correct Answers 2,4,5
(Vomiting is a clinical manifestation observed in an infant with a
urinary tract infection (UTI) and can be related to poor feeding.
Persistent diaper rash is a clinical manifestation of UTI in an infant.
Failure to gain weight is a clinical manifestation of UTI in an infant
related to poor feeding and vomiting. Jaundice is not a clinical
manifestation of UTI in an infant. Swelling of the face is not a clinical
manifestation of UTI in an infant.)
,Which manifestations are appropriate for both acute poststreptococcal
glomerulonephritis (APSG) and minimal-change nephrotic syndrome
(MCNS)? Select all that apply.
1
Generalized edema
2
Microscopic hematuria
3
Elevated blood pressure
4
Elevated serum protein level
5
Normal serum potassium level Correct Answers 2,5
(Microscopic hematuria may be seen in both APSGN and MCNS. In
APSGN, hematuria is present and may be either gross or microscopic.
In MCNS, there may be microscopic or no hematuria. Serum potassium
level remains normal in MCNS. Serum potassium level may be either
normal or elevated in APSGN.
Children with MCNS have severe, generalized edema.
Those with APSGN have primarily periorbital and peripheral edema.
Blood pressure is elevated in APSGN and normal or decreased in
MCNS. Serum protein levels are decreased in both conditions though
marked decrease is seen only in MCNS.
,Which reason is appropriate as to why a child should not hold or wait to
urinate who has been diagnosed with a urinary tract infection (UTI)?
1
Inhibits the process of urine formation
2
Reduces the blood supply of the kidneys
3
Causes severe abdominal pain in the child
4
Increases the chances of another infection Correct Answers 4
(Urinary stasis is the most important factor influencing the occurrence
of UTI. Children at times may tend to hold urine for long periods of
time, even when their parents repeatedly ask whether they feel the need
to urinate. This is very important to prevent infections. Holding urine
does not reduce the blood supply to the kidneys significantly.
Abdominal pain is associated with UTIs and is not caused by holding
urine. A child holding urine does not impact urine formation.)
Which finding is appropriate for the increased incidence of bacteriuria
in females?
1
Lower urinary tract
2
, Higher urinary tract
3
Higher intake of fluids
4
Frequent emptying of the bladder Correct Answers 1
(The lower urinary tract accounts for the increased incidence of
bacteriuria in females. Females have a lower, not a higher, urinary tract,
which increases the incidence for bacteriuria. Frequent emptying of the
bladder and a higher intake of fluids help to prevent infections and are
therefore not associated with an increased incidence of bacteriuria in
females.)
Which finding is appropriate regarding a newborn child whose urine
specific gravity is 1.030?
1
The child is producing normal urine.
2
The specific gravity of the urine is low.
3
The urine possibly contains protein or glucose.
4
The child possibly has distal tubular dysfunction Correct Answers 3
DYSFUNCTION QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS
Which clinical manifestations are appropriate when an infant has a
suspected urinary tract infection (UTI)? Select all that apply.
1
Jaundice
2
Vomiting
3
Swelling of the face
4
Persistent diaper rash
5
Failure to gain weight Correct Answers 2,4,5
(Vomiting is a clinical manifestation observed in an infant with a
urinary tract infection (UTI) and can be related to poor feeding.
Persistent diaper rash is a clinical manifestation of UTI in an infant.
Failure to gain weight is a clinical manifestation of UTI in an infant
related to poor feeding and vomiting. Jaundice is not a clinical
manifestation of UTI in an infant. Swelling of the face is not a clinical
manifestation of UTI in an infant.)
,Which manifestations are appropriate for both acute poststreptococcal
glomerulonephritis (APSG) and minimal-change nephrotic syndrome
(MCNS)? Select all that apply.
1
Generalized edema
2
Microscopic hematuria
3
Elevated blood pressure
4
Elevated serum protein level
5
Normal serum potassium level Correct Answers 2,5
(Microscopic hematuria may be seen in both APSGN and MCNS. In
APSGN, hematuria is present and may be either gross or microscopic.
In MCNS, there may be microscopic or no hematuria. Serum potassium
level remains normal in MCNS. Serum potassium level may be either
normal or elevated in APSGN.
Children with MCNS have severe, generalized edema.
Those with APSGN have primarily periorbital and peripheral edema.
Blood pressure is elevated in APSGN and normal or decreased in
MCNS. Serum protein levels are decreased in both conditions though
marked decrease is seen only in MCNS.
,Which reason is appropriate as to why a child should not hold or wait to
urinate who has been diagnosed with a urinary tract infection (UTI)?
1
Inhibits the process of urine formation
2
Reduces the blood supply of the kidneys
3
Causes severe abdominal pain in the child
4
Increases the chances of another infection Correct Answers 4
(Urinary stasis is the most important factor influencing the occurrence
of UTI. Children at times may tend to hold urine for long periods of
time, even when their parents repeatedly ask whether they feel the need
to urinate. This is very important to prevent infections. Holding urine
does not reduce the blood supply to the kidneys significantly.
Abdominal pain is associated with UTIs and is not caused by holding
urine. A child holding urine does not impact urine formation.)
Which finding is appropriate for the increased incidence of bacteriuria
in females?
1
Lower urinary tract
2
, Higher urinary tract
3
Higher intake of fluids
4
Frequent emptying of the bladder Correct Answers 1
(The lower urinary tract accounts for the increased incidence of
bacteriuria in females. Females have a lower, not a higher, urinary tract,
which increases the incidence for bacteriuria. Frequent emptying of the
bladder and a higher intake of fluids help to prevent infections and are
therefore not associated with an increased incidence of bacteriuria in
females.)
Which finding is appropriate regarding a newborn child whose urine
specific gravity is 1.030?
1
The child is producing normal urine.
2
The specific gravity of the urine is low.
3
The urine possibly contains protein or glucose.
4
The child possibly has distal tubular dysfunction Correct Answers 3
