A patient presents with sudden onset of gross hematuria, proteinuria and hypertension. In assessing this patient, what statement best supports the importance for the nurse to assess the presence of throat discomfort over the past two weeks? 1. Streptococcal pharyngitis can induce glomerulonephritis. 2. Hemolytic uremic syndrome (HUS) initially presents with pharyngitis. 3. Hematuria is the primary indicator that the patient has nephrotic syndrome caused by E. coli. 4. Throat discomfort is an indication of edema which is the primary cause of nephrotic syndrome.

1. Streptococcal pharyngitis can induce glomerulonephritis.

disease

Explanation:

Acute poststreptococcal glomerulonephritis (APSGN) results from a prior contamination of the skin (impetigo) or throat (pharyngitis) which is due to nephritogenic species of group A beta-hemolytic streptococci.

The disease is most observed in children 4-12 years of age and less likely to occur before 2 years of age or in persons that are older than 18 years. The dormancy period from infection differs, 1 to 2 weeks after pharyngitis to 3 to 6 weeks after skin infections.

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