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Chapter 22: Problem 27

An adolescent is hospitalized with acute glomerulonephritis. Which aspect of the client's history is most significant to her diagnosis? A. Immunization with VZIG after exposure to varicella B. Experiencing a bout of cystitis within the past year C. Having an untreated sore throat two weeks ago D. Sitting next to a student with mononucleosis

Short Answer

Expert verified
Answer: C. Having an untreated sore throat two weeks ago

Step by step solution

01

A. Immunization with VZIG after exposure to varicella

VZIG (Varicella Zoster Immune Globulin) is given to patients after exposure to varicella (chickenpox) to decrease the severity of the infection. This option may not be directly related to acute glomerulonephritis, as there isn't a strong association between varicella infection and acute glomerulonephritis.
02

B. Experiencing a bout of cystitis within the past year

Cystitis is the inflammation of the bladder, usually caused by a bacterial infection. Although urinary tract infections can sometimes involve the kidneys, the relation between cystitis and acute glomerulonephritis is not strong, especially if it occurred a year ago.
03

C. Having an untreated sore throat two weeks ago

An untreated sore throat is often caused by a bacterial infection, especially Streptococcus infection. This option is the most significant in the history, as there is a strong association between streptococcal throat infections and acute glomerulonephritis. The untreated infection can lead to the development of an autoimmune reaction, causing inflammation in the glomeruli of the kidneys.
04

D. Sitting next to a student with mononucleosis

Mononucleosis, commonly known as "mono," is caused by the Epstein-Barr virus (EBV). Although mono can cause an immune response in the body, it's not typically associated with acute glomerulonephritis. From the analysis of each option, the most significant aspect of the client's history to her diagnosis of acute glomerulonephritis is:
05

Answer

C. Having an untreated sore throat two weeks ago

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