A nurse is caring for a child in a pediatrician's office. Exhibits Complete the following sentence by using the lists of options. The nurse should recognize that the findings in the EMR are consistent with dropdown as evidenced by dropdown
Explanation & Rationale
Correct answers: The nurse should recognize that the findings in the EMR are consistent with acute glomerulonephritis as evidenced by urinalysis. Rationale for correct answers: Acute Glomerulonephritis (AGN): AGN is a known complication that can occur 1–2 weeks after a streptococcal infection (positive strep test a week ago). The child now has periorbital edema, hypertension (BP 141/88), lethargy, and tea-colored urine- all classic signs. The urinalysis shows proteinuria, hematuria, and cloudy tea-colored urine, which are hallmark findings in AGN. Rationale for incorrect answers: Urinary tract infection: Typically causes dysuria, urgency, frequency, and often a positive leukocyte esterase or nitrites. Mononucleosis: Would show lymphadenopathy, sore throat, and fatigue but is not consistent with current urinary findings or hypertension. A delayed allergic reaction: Would be more likely to present with urticaria, pruritus, or respiratory compromise. Congestive heart failure: Rare in children with no cardiac history and wouldn't explain the urinalysis findings.