Congenital Kidney Disorders · NCLEX Exam

In a patient with a congenital duplex collecting system, the major risk the nurse should monitor for is:

  1. Rapid decline into end-stage renal disease by infancy
  2. Recurrent urinary tract infections and reflux
  3. Massive proteinuria progressing to nephrotic syndrome
  4. Development of intracranial berry aneurysms
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Correct answer: Recurrent urinary tract infections and reflux

Duplex collecting systems increase risk of urinary stasis, reflux, and UTIs rather than immediate renal failure or vascular aneurysms.

Difficulty: Medium Question 14 of 20

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