Question

The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which response provides evidence of a risk factor for this condition?

A) ""He has been very healthy up to now.""
B) ""He just got over a head cold with laryngitis.""
C) ""My child is 18 months old.""
D) ""My child has not been sick at all.""

Answer 1

The answer indicating a risk factor for acute poststreptococcal glomerulonephritis is "He just got over a head cold with laryngitis," as it implies a recent infection which can precede this kidney condition.

Step-by-step explanation:

The correct response that provides evidence of a risk factor for acute poststreptococcal glomerulonephritis is: B) "He just got over a head cold with laryngitis." This statement suggests a recent upper respiratory infection, which is a known precursor to acute glomerulonephritis. This condition often develops within 6-10 days following a throat infection like strep throat, and up to 21 days after a skin infection. Acute glomerulonephritis is a result of an immune response to streptococcal antigens, where the formation of immune complexes and their subsequent deposition in the glomeruli lead to kidney damage.