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18 Cards in this Set
- Front
- Back
Compare the signs and symptoms of acute glomrulnephritis and those with nephrosis.
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AGN: gross hematuria, recent strep infection, hypertension, and mild edema:
nephrosis: severe edema, massive proteinuria, frothy-appearing urine, anorexia |
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What antecedent event occurs with AGN?
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Beta-hemolytic strep infection
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Compare the dietary interventions for acute glomerulonephritis?
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AGN: low sodium diet with no added salt; nephrosis: high protein, low-salt diet
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What is the physiologic reason for the lab finding of hypoproteinemia in nephrosis?
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Hypoproteinemia occurs because the glomeruli are permeable to serum proteins.
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Describe safe monitoring of prednisone administration and withdrawal.
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Long term prednisone should be given every other day. Signs of edema, mood changes, and GI distress should be noted and reported. The drug should be tapered, not discontinued.
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What interventions can be taught to prevent urinary tract infection in children?
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Avoid bubble baths; void frequently; drink adequate fluids, especially acidic fluids such as apple juice or cranberry juice; and clean genital area from front to back.
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Describe the pathophysiology of vesicoureteral reflux.
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A malfunction of the valves at the end of the ureters, allowing urine to reflux out of the bladder into the ureters and possibly into the kidneys.
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What are the priorities for a client with a Wilms tumor?
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Protect the child from injury to the encapsulated tumor. Prepare the family and child for surgery.
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Explain why hypospadias correction is performed before the child reaches preschool age.
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Preschoolers fear castration, acheiving sexual identity, and acquring independent toileting skills.
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Compare the signs and symptoms of acute glomrulnephritis and those with nephrosis.
|
AGN: gross hematuria, recent strep infection, hypertension, and mild edema:
nephrosis: severe edema, massive proteinuria, frothy-appearing urine, anorexia |
|
What antecedent event occurs with AGN?
|
Beta-hemolytic strep infection
|
|
Compare the dietary interventions for acute glomerulonephritis?
|
AGN: low sodium diet with no added salt; nephrosis: high protein, low-salt diet
|
|
What is the physiologic reason for the lab finding of hypoproteinemia in nephrosis?
|
Hypoproteinemia occurs because the glomeruli are permeable to serum proteins.
|
|
Describe safe monitoring of prednisone administration and withdrawal.
|
Long term prednisone should be given every other day. Signs of edema, mood changes, and GI distress should be noted and reported. The drug should be tapered, not discontinued.
|
|
What interventions can be taught to prevent urinary tract infection in children?
|
Avoid bubble baths; void frequently; drink adequate fluids, especially acidic fluids such as apple juice or cranberry juice; and clean genital area from front to back.
|
|
Describe the pathophysiology of vesicoureteral reflux.
|
A malfunction of the valves at the end of the ureters, allowing urine to reflux out of the bladder into the ureters and possibly into the kidneys.
|
|
What are the priorities for a client with a Wilms tumor?
|
Protect the child from injury to the encapsulated tumor. Prepare the family and child for surgery.
|
|
Explain why hypospadias correction is performed before the child reaches preschool age.
|
Preschoolers fear castration, acheiving sexual identity, and acquring independent toileting skills.
|