The nurse is conducting an assessment on a school-age child with ...

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The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?
 
  a. Fever with a positive blood culture c. Oliguria and hypertension
  b. Proteinuria and edema d. Anemia and thrombocytopenia

Question 2

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?
 
  a. pH c. Creatinine clearance
  b. Osmolality d. Protein level

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Answer to Question 1

ANS: A
Symptoms of urosepsis include a febrile urinary tract infection coexisting with systemic signs of bacterial illness; blood culture reveals the presence of a urinary pathogen. Proteinuria and edema are symptoms of minimal change nephrotic syndrome. Oliguria and hypertension are symptoms of acute glomerulonephritis. Anemia and thrombocytopenia are symptoms of hemolytic uremic syndrome.

Answer to Question 2

ANS: C
The most useful clinical indication of glomerular filtration is the clearance of creatinine. It is a substance that is freely filtered by the glomerulus and secreted by the renal tubule cells. The pH and osmolality are not estimates of glomerular filtration. Although protein in the urine demonstrates abnormal glomerular permeability, it is not a measure of filtration rate.

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