Exam 31: Alterations of Renal and Urinary Tract Function in Children

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A 15-year-old presents with flank pain, irritability, malaise, and fever and is diagnosed with glomerulonephritis.What is the most likely cause of this condition?

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A

Physical examination of a newborn who dies shortly after birth reveals wide-set eyes, parrot-beak nose, low-set ears, and receding chin.These abnormalities support which diagnosis?

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B

A 7-year-old male presents to his primary care provider for incontinence.His mother indicates that he has never been continent before.This history supports which form of enuresis?

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C

Which of the following clusters of symptoms would support a child's diagnosis of glomerulonephritis?

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Upon examination of a male infant, it is determined that the urethral meatus is located on the undersurface of the penis.The nurse will document this condition as:

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A 10-year-old male is diagnosed with glomerulonephritis.Tests reveal the deposition of immunoglobulin IgA in the glomerular capillaries.The nurse will monitor for recurrent:

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In addition to a mass, the child with Wilms tumor may also exhibit which assessment finding? (select all that apply)

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A 2-year-old male is diagnosed with Wilms tumor.Which clinical condition is often associated with this disease?

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What term is used to describe a chronic renal failure caused by a lack of development of one of the kidneys?

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A 4-year-old male is diagnosed with nephrotic syndrome.Which of the following assessment findings accompanies this condition?

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A 7-year-old is diagnosed with nephrotic syndrome.Which sign would support this diagnosis?

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When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is:

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A 6-year-old male diagnosed with vesicoureteral reflux is experiencing urine reflux from the urinary bladder into a grossly dilated ureter and calyces.This condition would be graded:

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A 5-year-old male was diagnosed with glomerulonephritis.History reveals that he had an infection 3 weeks before the onset of this condition.The infection was most likely located in the:

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An infant male experiences a constant dribbling of urine.His urethral opening is located behind the glans.Which of the following is the most likely diagnosis the nurse will observe on the chart?

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What term is used to describe a retrograde flow of urine from the urinary bladder into the ureters that is the cause of recurrent urinary tract infections (UTIs)?

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If nephrotic syndrome is not caused initially by kidney disease, it is termed _____ nephrotic syndrome.

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A nurse observes on the chart that a patient is admitted with Wilms tumors.A nurse knows the tumors are found in the:

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The life expectancy of infants who are diagnosed with bilateral renal agenesis is expected to be:

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