Author Question: A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal ... (Read 44 times)

jake · **on:** Jun 28, 2018

A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor?

a. Flank pain rarely occurs in children with renal injuries.
b. Few nonpenetrating injuries cause renal trauma in children.
c. Kidneys are immobile, well protected, and rarely injured in children.
d. The amount of hematuria is not a reliable indicator of the seriousness of renal injury.

Question 2

What condition is the most common cause of acute renal failure in children?

a. Pyelonephritis
b. Tubular destruction
c. Severe dehydration
d. Upper tract obstruction

dyrone · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Hematuria is consistently present with renal trauma. It does not provide a reliable indicator of the seriousness of the renal injury. Flank pain results from bleeding around the kidney. Most injuries that cause renal trauma in children are of the nonpenetrating or blunt type and usually involve falls, athletic injuries, and motor vehicle accidents. In children, the kidneys are more mobile, and the outer borders are less protected than in adults.

Answer to Question 2

ANS: C
The most common cause of acute renal failure in children is dehydration or other causes of poor perfusion that may respond to restoration of fluid volume. Pyelonephritis and tubular destruction are not common causes of acute renal failure. Obstructive uropathy may cause acute renal failure, but it is not the most common cause.