Question 1. Compare the dietary interventions for acute glomerulonephritis and nephrosis.
Answer: AGN: low-sodium diet with no added salt. Nephrosis: high-protein, low-salt diet.
Question 2. What antecedent event occurs with acute glomerulonephritis?
Answer: Beta-hemolytic strep infection
Question 3. Compare the signs and symptoms of acute glomerulonephritis (AGN) with nephrosis.
Answer: AGN: gross hematuria, recent strep infection, hypertension, and mild edema. Nephrosis: severe edema, massive proteinuria, frothy-appearing urine, anorexia.
Question 4. What is the physiologic reason for the lab finding of hypoproteinemia in nephrosis?
Answer: Hypoproteinemia occurs because the glomeruli are permeable to serum proteins.
Question 5. What are the priorities for a client with Wilms’ tumor?
Answer: Protect the child from injury to the encapsulated tumor. Prepare the family/child for surgery.
Question 6. What interventions can be taught to prevent urinary tract infections in children?
Answer: Avoid bubble baths, void frequently; drink adequate fluids especially acidic fluids such as apple or cranberry juice, and clean genital area from front to back.
Question 7. Describe the pathophysiology of vesicoureteral reflux.
Answer: a malfunction of the valves at the end of the ureters allowing urine to reflux out of the bladder into the ureters and possibly the kidneys.
Question 8. Describe safe monitoring of prednisone administration and withdrawal.
Answer: 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 suddenly.
Question 9. Explain why hypospadias correction is done before the child reaches preschool age.
Answer: Preschoolers fear castration, are achieving sexual identity, and acquiring independent toileting skills.
Answer: AGN: low-sodium diet with no added salt. Nephrosis: high-protein, low-salt diet.
Question 2. What antecedent event occurs with acute glomerulonephritis?
Answer: Beta-hemolytic strep infection
Question 3. Compare the signs and symptoms of acute glomerulonephritis (AGN) with nephrosis.
Answer: AGN: gross hematuria, recent strep infection, hypertension, and mild edema. Nephrosis: severe edema, massive proteinuria, frothy-appearing urine, anorexia.
Answer: Hypoproteinemia occurs because the glomeruli are permeable to serum proteins.
Question 5. What are the priorities for a client with Wilms’ tumor?
Answer: Protect the child from injury to the encapsulated tumor. Prepare the family/child for surgery.
Question 6. What interventions can be taught to prevent urinary tract infections in children?
Answer: Avoid bubble baths, void frequently; drink adequate fluids especially acidic fluids such as apple or cranberry juice, and clean genital area from front to back.
Question 7. Describe the pathophysiology of vesicoureteral reflux.
Answer: a malfunction of the valves at the end of the ureters allowing urine to reflux out of the bladder into the ureters and possibly the kidneys.
Question 8. Describe safe monitoring of prednisone administration and withdrawal.
Answer: 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 suddenly.
Question 9. Explain why hypospadias correction is done before the child reaches preschool age.
Answer: Preschoolers fear castration, are achieving sexual identity, and acquiring independent toileting skills.