Kali is a 5 year old patient with a history of spina bifida. Kali ...

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Kali is a 5 year old patient with a history of spina bifida. Kali is at increased risk for ________ due to her neurogenic bladder issues.
 
  1. Hirschsprung's Disease
   2. Vomiting
   3. Ileus
   4. Urinary tract infections

Question 2

A 3 year old exhibits a high fever, flank pain, hematuria, and vomiting. The nurse should anticipate which order?
 
  1. A urinalysis
   2. A CBC
   3. A BMP
   4. CRP

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Answer to Question 1

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1. Hirschsprung's disease affects the GI tract, not the GU tract.
2. Vomiting is not a risk for this child.
3. An ileus is more common in a child with issues with the GI tract rather than the GU tract.
4. The child is at risk for urinary tract infections because of the urinary stasis and lack of completely emptying the bladder. The child needs to have intermittent urinary catheterizations to decrease the risk.

Answer to Question 2

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1. The urinalysis provides markers for identifying infection because the child is presenting with common symptoms of a urinary tract infection. Nitrate and protein markers will help with the diagnostics.
2. A CBC does not contain the nitrate and protein markers commonly seen in a child with the presenting symptoms of a urinary tract infection.
3. A BMP will not identify an infection. The child is exhibiting symptoms of a urinary tract infection.
4. A CRP will identify that there is an infection, but is not able to identify where the infection is present. The patient is exhibiting symptoms common with a urinary tract infection.

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