Question

A 15-year-old is admitted to the renal unit with a diagnosis of postinfectious glomerular disease. The nurse should recognize that this form of kidney disease may have been precipitated by what event?

A) Psychosocial stress
B) Hypersensitivity to an immunization
C) Menarche
D) Streptococcal infection

Answer 1

Postinfectious glomerular disease, often referred to as glomerulonephritis, can be caused by a preceding streptococcal infection that leads to an inflammatory response in the kidneys.

Step-by-step explanation:

Postinfectious glomerular disease, specifically glomerulonephritis, may be precipitated by a previous streptococcal infection.

This infection does not directly affect the glomeruli of the kidney. However, immune complexes form in the blood between antigens of Streptococcus pyogenes and antibodies, these complexes then lodge in the capillary endothelial cell junctions of the glomeruli. This results in a damaging inflammatory response which is a key feature of glomerulonephritis.