A 9-Year-Old Boy Is Brought to the Emergency Department Due

question 715

Multiple Choice

A 9-year-old boy is brought to the emergency department due to lethargy, headache, and nausea since this morning.  In addition, the patient has had decreased urine output over the past 48 hours.  He reports no abdominal or joint pain, dysuria, or shortness of breath.  The patient has no chronic medical conditions; 2 weeks ago, he had a sore throat that resolved spontaneously.  Temperature is 37.2 C (99 F) , blood pressure is 170/102 mm Hg, pulse is 98/min, and respirations are 20/min.  The oropharynx is clear.  The neck is supple, and there is no lymphadenopathy.  Periorbital, scrotal, and pedal edema are present.  There is no rash.  Complete blood count is normal.  Serum creatinine is 1.9 mg/dL.  Urinalysis reveals moderate blood and 2+ protein.  Which of the following is the best next step in management of this patient?

• A)Dietary protein restriction
• B)Furosemide
• C)Lisinopril
• D)Normal saline infusion
• E)Plasmapheresis

---

Definitions:

Sustainability

Refers to the practice of meeting current needs without compromising the ability of future generations to meet theirs, emphasizing environmental, social, and economic stability.

Social Entrepreneurship

The practice of starting businesses with the aim of solving social problems or effecting social change, prioritizing social impact over profit.

Societal Responsibility

The obligation of businesses to contribute positively to the welfare of society and operate sustainably.

Community Responsibility

The duty of businesses and organizations to contribute positively to the welfare of the society and the environment in which they operate.