The mother of a child who was recently diagnosed with acute ...

[kellyjaisingh]

The mother of a child who was recently diagnosed with acute glomerulonephritis asks the nurse why the physician keeps talking about casts in the urine.
 
  The nurse's response is based on the knowledge that the presence of casts in the urine indicates: a. glomerular injury.
  b. glomerular healing.
  c. recent streptococcal infection.
  d. excessive amounts of protein in the urine.

Question 2

The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?
 
  a. Increased urine output
  b. Hypotension
  c. Tea-colored urine
  d. Weight gain

[pikon]

Answer to Question 1

A
The presence of red blood cell casts in the urine indicates glomerular injury. Casts in the urine are abnormal findings and are indicative of glomerular injury, not glomerular healing. A urinalysis positive for casts does not confirm a recent streptococcal infection. Casts in the urine are unrelated to proteinuria.

Answer to Question 2

C
Acute poststreptococcal glomerulonephritis is characterized by hematuria, proteinuria, edema, and renal insufficiency. Tea-colored urine is an indication of hematuria. In acute poststreptococcal glomerulonephritis, the urine output may be decreased and the blood pressure increased. Edema may be noted around the eyelids and ankles in patients with acute poststreptococcal glomerulonephritis; however, weight gain is associated with nephrotic syndrome.

[kellyjaisingh]

TYSM

[amit]

Excellent