NR 509 WEEK 6 PEDIATRIC SOAP NOTE VIEW
AHEAD DOCUMENT 2026 ACCURATE CARE
PLAN
◉ The mother of a child diagnosed with pyelonephritis asks if the
kidneys were damaged because of this. What is the best response by
the nurse?
a) Yes, all children who get pyelonephritis have renal scarring.
b) The child's risk for renal scarring is increased with
pyelonephritis.
c) As long as IV antibiotics are started, there is no risk of renal
damage.
d) No, if the child is urinating normally, the kidneys were not
damaged. Answer: B. The child's risk for renal scarring is increased
with pyelonephritis.
Explanation:
It would not be possible to determine if the child has renal scarring
with pyelonephritis until more testing is performed. It can result in
renal scarring with this type of problem, but that does not mean
there will definitely be complications. Antibiotics are usually the
treatment of choice in this situation, but it cannot be determined
when the damage had occurred.
,◉ The nurse is caring for a child admitted with acute
glomerulonephritis. Which of the following clinical manifestations
would likely have been noted in the child with this diagnosis?
a) Smoky colored urine
b) Jaundiced skin
c) Strawberry red tongue
d) Loose, dark stools. Answer: a)Smoky colored urine
Explanation:
The presenting symptom in acute glomerulonephritis is grossly
bloody urine. The caregiver may describe the urine as smoky or
bloody. Periorbital edema may accompany or precede hematuria.
Loose stools are seen in diarrhea. A strawberry colored tongue is a
symptom seen in the child with Kawasaki disease. Jaundiced skin is
noted in Hepatitis.
◉ The child with nephrotic syndrome who has ascites and difficulty
breathing is probably most comfortable sleeping in which position?
a) Supine
b) Sims' position
c) Prone
, d) Fowler's. Answer: d)Fowler's
Explanation:
A Fowler's position (sitting upright) allows ascites fluid to settle
downward and not press against the diaphragm, compromising
breathing.
◉ A child diagnosed acute glomerulonephritis will most likely have a
history of which of the following?
a) Recent illness such as strep throat
b) Hemorrhage or history of bruising easily
c) Sibling diagnosed with the same disease
d) Hearing loss with impaired speech development. Answer: a)
Recent illness such as strep throat
Explanation:
Symptoms of acute glomerulonephritis often appear one to three
weeks after the onset of a streptococcal infection such as strep
throat.
◉ A school nurse is trying to prevent poststreptococcal
glomerulonephritis in children. Which of the following would be the
best way to prevent this?
AHEAD DOCUMENT 2026 ACCURATE CARE
PLAN
◉ The mother of a child diagnosed with pyelonephritis asks if the
kidneys were damaged because of this. What is the best response by
the nurse?
a) Yes, all children who get pyelonephritis have renal scarring.
b) The child's risk for renal scarring is increased with
pyelonephritis.
c) As long as IV antibiotics are started, there is no risk of renal
damage.
d) No, if the child is urinating normally, the kidneys were not
damaged. Answer: B. The child's risk for renal scarring is increased
with pyelonephritis.
Explanation:
It would not be possible to determine if the child has renal scarring
with pyelonephritis until more testing is performed. It can result in
renal scarring with this type of problem, but that does not mean
there will definitely be complications. Antibiotics are usually the
treatment of choice in this situation, but it cannot be determined
when the damage had occurred.
,◉ The nurse is caring for a child admitted with acute
glomerulonephritis. Which of the following clinical manifestations
would likely have been noted in the child with this diagnosis?
a) Smoky colored urine
b) Jaundiced skin
c) Strawberry red tongue
d) Loose, dark stools. Answer: a)Smoky colored urine
Explanation:
The presenting symptom in acute glomerulonephritis is grossly
bloody urine. The caregiver may describe the urine as smoky or
bloody. Periorbital edema may accompany or precede hematuria.
Loose stools are seen in diarrhea. A strawberry colored tongue is a
symptom seen in the child with Kawasaki disease. Jaundiced skin is
noted in Hepatitis.
◉ The child with nephrotic syndrome who has ascites and difficulty
breathing is probably most comfortable sleeping in which position?
a) Supine
b) Sims' position
c) Prone
, d) Fowler's. Answer: d)Fowler's
Explanation:
A Fowler's position (sitting upright) allows ascites fluid to settle
downward and not press against the diaphragm, compromising
breathing.
◉ A child diagnosed acute glomerulonephritis will most likely have a
history of which of the following?
a) Recent illness such as strep throat
b) Hemorrhage or history of bruising easily
c) Sibling diagnosed with the same disease
d) Hearing loss with impaired speech development. Answer: a)
Recent illness such as strep throat
Explanation:
Symptoms of acute glomerulonephritis often appear one to three
weeks after the onset of a streptococcal infection such as strep
throat.
◉ A school nurse is trying to prevent poststreptococcal
glomerulonephritis in children. Which of the following would be the
best way to prevent this?
