Nrnp 6541 Pediatric Final Exam 2023 -2024 Updated Questions And Accurate Answers Verified 100 % Graded A+

1 REAL EXAM NRNP 6541 PED=ATR=C F=NAL EXAM 2023 -2024 UPDATED QUEST=ONS AND ACCURATE ANSWERS VER=F=ED 100 % GRADED A+ A 15-year-old female has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is febrile with a weight greater than the 99th percentile and has an erythematous, macular rash beneath both breasts characterized by satellite lesions. UA is significant for 2+ glucosuria, but no pyuria. Which of the following is the most likely diagnosis? A. Diabetes mellitus B. Fanconi syndrome C. :uman immunodeficiency virus D. Occult malignancy E. Severe combined immunodeficiency (SC=D) A. The obese adolescent in this case has findings of diabetes mellitus. :er cutaneous candidiasis is likely an indication of secondary immunosuppression related to hyperglycemia. =n diabetes, hyperglycemia promotes neutrophil dysfunction, and circulatory insufficiency contributes to ineffective neutrophil2 chemotaxis during infection. :=V infection is possible and antibody testing might be reasonable, but this scenario is most consistent with hyperglycemia. A mother notes her 6-week-old son's umbilical cord is still attached. :is activity and intake are normal; there has been no illness or fever. Delivery