Author Question: Which child is most at risk for nephrotic syndrome? 1. A 4 year old recovering from pneumonia ... (Read 108 times)

CharlieWard · **on:** Jun 27, 2018

Which child is most at risk for nephrotic syndrome?

1. A 4 year old recovering from pneumonia
2. A 7 year old with group A beta-hemolytic strep throat infection
3. A 2 year old with leukemia
4. A 16 year old with a sexually transmitted disease

Question 2

Ashley is a 5-year-old girl who is severely mentally handicapped and has been bedridden for the last 3 years after a near-drowning accident. Ashley has developed pneumonia and sustaining her life would require ventilator support.

The staff nurse is to obtain information about legal guardianship because her parents have abandoned her at the hospital. The nurse knows that: 1. Legal guardianship is needed for a person to have medical information released to him/her.
2. The legal guardian must be present to care for the child.
3. Legal guardianship can only be obtained by her parents.
4. The legal guardian must take physical responsibility for the child.

kardosa007 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Feedback
1. A child with pneumonia does not carry the common bacteria that increases the risk for nephrotic syndrome.
2. Group A beta-hemolytic strep will attach to the kidneys if the bacteria is not treated effectively.
3. A child with leukemia is at risk for kidney dysfunction, but usually is closely monitored, decreasing the risk for nephrotic syndrome.
4. An STD does not increase the risk for nephrotic syndrome because of the type of bacteria.

Answer to Question 2

1
Feedback
1. The medical information and consent needs to be given by someone with the best interests of the child in mind who can legally make decisions. Only information can be released to this person.
2. The legal guardian does not need to be physically present, but must be reachable to discuss the plan of care.
3. Legal guardians can be anyone with the best interests of the child in mind.
4. The legal guardian may be the state, and foster parents would have the physical responsibility of caring for the child.