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18 Cards in this Set

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  • Back
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.
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.