Parents ask the nurse to explain what it means then the pediatrician says that their child's vesicoureteral reflux is a grade I. Which of the following is the nurse's best response to explain the significance of the grade?
a. In grade I there is already some amount of renal scarring.
b. There is some loss of kidney function, but it is no more than 50%.
c. This grade of reflux is most likely to resolve spontaneously.
d. Grade I is the most serious grade of vesicoureteral reflux.
C
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A Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that in grade I there is already some amount of renal scarring.
B Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that there is some loss of kidney function, but it is no more than 50%.
C Correct. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is the less severe the reflux (grades I and II), the greater likelihood it will resolve spontaneously.
D Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that grade I is the most serious grade of vesicoureteral reflux, it is the least serious.
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